HENDRY COUNTY HOSPITAL AUTHORITY NPI 1588859623

NPI Information

NPI: 1588859623
Provider Name: HENDRY COUNTY HOSPITAL AUTHORITY

Doing Business As: HENDRY REGIONAL CONVENIENT CARE CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
450 S MAIN ST
SUITE 1
LABELLE, FL
ZIP 33935
Phone: (863) 675-2356
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HENDRY COUNTY HOSPITAL AUTHORITY is a rural health clinic center in Labelle, FL. HENDRY COUNTY HOSPITAL AUTHORITY NPI is 1588859623. The provider is registered as an organization entity type.
The provider Is Doing Business As Hendry Regional Convenient Care Center.

The provider's business location address is:

450 S MAIN ST
SUITE 1
LABELLE, FL
ZIP 33935-629
Phone: (863) 675-2356
Fax: (863) 675-2407

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 CLIA number assigned to this NPI record is 10D1075559 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2007 and was last updated on 9/12/2007.

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	261QR1300X	Clinic/Center	Rural Health			Yes

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

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