NPIMap

Organization Active NPI

Palm Glades Rural Health Associates, Inc.

  • Rural Health Clinic/Center
  • Belle Glade, FL
National Provider Identifier
1013063742
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PALM GLADES RURAL HEALTH ASSOCIATES, INC.
Practice address
217 W Avenue a
Belle Glade, FL 33430-3019
Phone
(561) 992-4888
Fax
(561) 996-4358
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Keith W. Hurbs
Title
Administrator
Phone
(561) 992-4888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

217 W Avenue a
Belle Glade, FL 33430-3019

Mailing address

217 W Avenue a
Belle Glade, FL 33430-3019
Phone (561) 992-4888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110329000601 FL Part A Provider - Rural Health Clinic 0749463727 Practice locations: Belle Glade, FL

Rural health clinic certification: CCN 103972

Legal name
PALM GLADES RURAL HEALTH ASSOCIATES, INC.
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 18, 1997
Last certification
May 19, 2025
Ownership / control type
1A
Organization structure
CorporationProprietary
Incorporated
Apr 26, 1996 in FL
Enrollment address
217 West Avenue a
Belle Glade, FL 33430-3019

National Provider Directory

National Provider Directory
Tax ID family
Palm Glades Rural Health Associates Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

217 W Avenue A
Belle Glade, FL 33430
Phone (561) 985-3484

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ann-Marie Hurbs Individual 5% Or Greater Direct Ownership Interest Aug 1, 2002
W-2 Managing Employee Aug 1, 2002
Keith Hurbs Individual 5% Or Greater Direct Ownership Interest Aug 1, 2002
Corporate Director Aug 1, 2002
W-2 Managing Employee Aug 1, 2002
Richard a. Fisher Individual Contracted Managing Employee Aug 1, 2004
Corporate Director Aug 1, 2004

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013063742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W AVENUE A",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334303019",
            "telephone_number": "561-992-4888",
            "fax_number": "561-996-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W AVENUE A",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334303019",
            "telephone_number": "561-992-4888",
            "fax_number": "561-996-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM GLADES RURAL HEALTH ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HURBS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-992-4888"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Glade, FL

Sources for this page

Verify at the official NPI Registry.