RURAL HEALTH CARE, INCORPORATED

Company Details

Entity Name:	RURAL HEALTH CARE, INCORPORATED
Jurisdiction:	FLORIDA
Filing Type:	Domestic Non-Profit
Status:	Active
Date Filed:	08 Dec 1977 (47 years ago)
Document Number:	740981
FEI/EIN Number	591792958
Address:	146 COMFORT ROAD, PALATKA, FL, 32177-8636, US
Mail Address:	P.O. DRAWER 817, PALATKA, FL, 32178-0817
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1699538785

2024-02-01

1302 RIVER ST, PALATKA, FL, 321775042, US

146 COMFORT RD UNIT 2, PALATKA, FL, 321778636, US

Contacts

Phone	+1 386-328-0108
Fax	3863251086

Authorized person

Name	LAURA M SPENCER
Role	CEO
Phone	3863280108

Taxonomy

Taxonomy Code	261QC1500X - Community Health Clinic/Center
Is Primary	No
Taxonomy Code	261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary	Yes

Agent

Name	Role	Address
SPENCER LAURA M	Agent	146 COMFORT ROAD, PALATKA, FL, 32177

Treasurer

Name	Role	Address
MORENO ROBERT	Treasurer	146 COMFORT ROAD, PALATKA, FL, 321778636

Secretary

Name	Role	Address
DEAN KATHY	Secretary	146 COMFORT ROAD, PALATKA, FL, 321778636

Chief Executive Officer

Name	Role	Address
SPENCER LAURA M	Chief Executive Officer	146 COMFORT ROAD, PALATKA, FL, 321778636

Chief Financial Officer

Name	Role	Address
GIACOMO JOSEPH	Chief Financial Officer	146 COMFORT ROAD, PALATKA, FL, 321778636

Vice President

Name	Role	Address
SIMMONS-WATSON LASHONDA	Vice President	146 COMFORT ROAD, PALATKA, FL, 321778636

Chairman

Name	Role	Address
THOMAS SABRINA	Chairman	146 COMFORT ROAD, PALATKA, FL, 321778636

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G15000031666	AZA HEALTH	ACTIVE	2015-03-27	2025-12-31	No data	P.O. DRAWER 817, PALATKA, FL, 32178
G12000092305	AZALEA HEALTHCARE	EXPIRED	2012-09-20	2017-12-31	No data	P.O. DRAWER 817, PALATKA, FL, 32178
G12000092307	AZALEA HEALTH CARE	EXPIRED	2012-09-20	2017-12-31	No data	P.O. DRAWER 817, PALATKA, FL, 32178
G12000092310	AZALEA HEALTH CENTERS	EXPIRED	2012-09-20	2017-12-31	No data	P.O. DRAWER 817, PALATKA, FL, 32178
G12000092314	AZALEA MEDICAL	EXPIRED	2012-09-20	2017-12-31	No data	P.O. DRAWER 817, PALATKA, FL, 32178
G12000092336	AZALEA DENTAL	EXPIRED	2012-09-20	2017-12-31	No data	P.O. DRAWER 817, PALATKA, FL, 32178
G12000092342	AZALEA PHARMACY	EXPIRED	2012-09-20	2017-12-31	No data	P.O. DRAWER 817, PALATKA, FL, 32178
G12000092348	AZALEA FAMILY PRACTICE	EXPIRED	2012-09-20	2017-12-31	No data	P.O. DRAWER 817, PALATKA, FL, 32178
G12000092354	AZALEA PEDIATRICS	EXPIRED	2012-09-20	2017-12-31	No data	P.O. DRAWER 817, PALATKA, FL, 32178
G12000092303	AZALEA HEALTH	EXPIRED	2012-09-20	2017-12-31	No data	P.O. DRAWER 817, PALATKA, FL, 32178
G12000022531	FAMILY MEDICAL & DENTAL CENTERS	EXPIRED	2012-03-05	2017-12-31	No data	P.O. DRAWER 817, PALATKA, FL, 32178
G09023900351	PALMS PHARMACY	EXPIRED	2009-01-23	2014-12-31	No data	911 S MAIN ST, TRENTON, FL, 32693
G09007900398	PALMS COMPLIMENTARY ALTERNATIVE MEDICINE	EXPIRED	2009-01-07	2014-12-31	No data	911 S MAIN ST, TRENTON, FL, 32693
G09007900394	PALMS PEDIATRICS	EXPIRED	2009-01-07	2014-12-31	No data	911 S MAIN STREET, TRENTON, FL, 32693
G09007900395	PALMS BEHAVIORAL HEALTHCARE	EXPIRED	2009-01-07	2014-12-31	No data	911 S MAIN ST, TRENTON, FL, 32693
G09007900391	PALMS DENTISTRY	EXPIRED	2009-01-07	2014-12-31	No data	911 S MAIN ST, TRENTON, FL, 32693
G09007900390	PALMS MEDICAL GROUP	EXPIRED	2009-01-07	2014-12-31	No data	911 S MAIN STREET, TRENTON, FL, 32693

Events

Event Type	Filed Date	Value	Description
AMENDMENT	1998-06-16	No data	No data

Date of last update: 01 Feb 2025

Sources: Florida Department of State