HENDRY COUNTY HOSPITAL AUTHORITY NPI 1336165935

NPI Information

NPI: 1336165935
Provider Name: HENDRY COUNTY HOSPITAL AUTHORITY

Doing Business As: HENDRY REGIONAL SPECIALTY GROUP

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
524 W SAGAMORE AVE
CLEWISTON, FL
ZIP 33440
Phone: (863) 983-9121
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HENDRY COUNTY HOSPITAL AUTHORITY is a specialist in Clewiston, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HENDRY COUNTY HOSPITAL AUTHORITY NPI is 1336165935. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hendry Regional Specialty Group.

The provider's business location address is:

524 W SAGAMORE AVE
CLEWISTON, FL
ZIP 33440-514
Phone: (863) 983-9121
Fax: (863) 983-3426

The provider's authorized official is Craig Cudworth .
The authorized official title is Ceo and has the following contact phone number (863) 902-3076.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 2/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		3995	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0098	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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