Rural Health Care, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RURAL HEALTH CARE, INC.

Doing business as

Family Medical & Dental Centers

Practice address

203 S Moody Rd
Palatka, FL 32177-3923

Phone

(386) 328-0657

Fax

(386) 325-1502

NPI assigned

Jul 25, 2006

Last updated

Aug 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

P Dewayne Yates

Title

Chief Executive Officer

Phone

(386) 328-0108

Specialties & licenses 1

Addresses

Other names 1

• Family Medical & Dental Centers Doing business as

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1063434074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 RIVER ST",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321775042",
            "telephone_number": "386-328-0108",
            "fax_number": "386-325-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S MOODY RD",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773923",
            "telephone_number": "386-328-0657",
            "fax_number": "386-325-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "P",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "386-328-0108"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical & Dental Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Michele Ruff, LDO
• Rural Health Care Incorporated (Azalea Health)
• Rural Health Care Incorporated (Aza Health)
• Rural Health Care Incorporated (Aza Health)
• Rural Health Care Incorporated (Aza Health)
• Rural Health Care, Inc. (Aza Health)
• Rural Health Care, Inc. (Aza Health)
• Rural Health Care, Incorporated (Aza Health)
• Audrey M Russell, PHARMACY TECH
• Kathleen Anne Russell, ARNP-BC

• Family Medicine Physician in Palatka, FL
• Providers in Palatka, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.