Organization Name: | HENDRY COUNTY HOSPITAL AUTHORITY |
NPI Number: | 1588859623 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRAIG CUDWORTH (CEO) |
Mailing Address: | 450 S Main St Suite 1 Labelle |
State: | FL US |
Postal Code: | 339354629 |
Phone Number: | 8636752356 |
Fax Number: | 8636752407 |
NPI Enumeration Date: | 09/12/2007 |
NPI Last Update Date: | 09/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |