Organization Name: | HENDRY COUNTY HOSPITAL AUTHORITY |
NPI Number: | 1215960315 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER LESLEY (DIRECTOR PFS) |
Mailing Address: | 524 W Sagamore Ave Clewiston |
State: | FL US |
Postal Code: | 334403514 |
Phone Number: | 8639839121 |
Fax Number: | 8639833426 |
NPI Enumeration Date: | 07/09/2006 |
NPI Last Update Date: | 10/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |