Aza Health is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Interlachen, Florida. The current practice location for Aza Health is 1213 State Road 20, Interlachen, Florida. For appointments, you can reach them via phone at
(386) 684-4914. The mailing address for Aza Health is 1302 River St, Palatka, Florida and phone number is (386) 328-0108.
Aza Health is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1477529311. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(386) 684-4914.
Primary Care Clinic Profile
| Full Name | Aza Health |
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| Speciality | Clinic/Center |
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| Location | 1213 State Road 20, Interlachen, Florida |
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| Authorized Official Name and Position | Laura M. Spencer (PRESIDENT/CHIEF EXECUTIVE OFFICER) |
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| Authorized Official Contact | 3863280108 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Aza Health
1302 River St
Palatka
FL 32177-5042
Ph: (386) 328-0108 | Aza Health
1213 State Road 20
Interlachen
FL 32148-2737
Ph: (386) 684-4914 |
NPI Details:
| NPI Number | 1477529311 |
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| Provider Enumeration Date | 02/28/2006 |
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| Last Update Date | 02/13/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 7214849520 |
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| Medicare Enrollment ID | O20031106000267 |
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Medical Identifiers
Medical identifiers for Aza Health such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477529311 | NPI | - | NPPES |
| 101251779 | Medicaid | FL | |
| 029543402 | Medicaid | FL | |
| CF6528 | Other | FL | MEDICARE RAILROAD |
| 037641801 | Medicaid | FL | |
| 99262 | Other | FL | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QC1500X | Clinic/center - Community Health | L8000010911 (Florida) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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