| Organization Name: | HENDRY COUNTY HOSPITAL AUTHORITY |
| NPI Number: | 1053331694 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LYNN W. BEASLEY (CEO) |
| Mailing Address: | 500 W Sagamore Ave Clewiston |
| State: | FL US |
| Postal Code: | 334403514 |
| Phone Number: | 8639023032 |
| Fax Number: | 8639836655 |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 10/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 3995 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |