| Aza Health | |
|
201 West Lattin Street Hastings FL 32145-4111 | |
| (904) 692-1508 | |
| (904) 692-1509 |
| Full Name | Aza Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 West Lattin Street, Hastings, Florida |
| Authorized Official Name and Position | Laura M. Spencer (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3863280108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aza Health 1302 River St Palatka FL 32177-5042 Ph: (386) 326-7342 | Aza Health 201 West Lattin Street Hastings FL 32145-4111 Ph: (904) 692-1508 |
| NPI Number | 1679822993 |
|---|---|
| Provider Enumeration Date | 08/31/2012 |
| Last Update Date | 02/13/2020 |
| Medicare PECOS PAC ID | 7214849520 |
|---|---|
| Medicare Enrollment ID | O20121029000674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679822993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Medical Specialists Of Hastings Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 West Lattin Street, Hastings, FL 32145 Phone: 904-824-8158 Fax: 904-823-1284 | |
Azalea Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 765 E Saint Johns Ave, Hastings, FL 32145 Phone: 904-692-2920 Fax: 904-692-3611 |