HENDRY COUNTY HOSPITAL AUTHORITY (NPI# 1942576665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942576665 |
| Entity Type | Organization |
| Organization Name | HENDRY COUNTY HOSPITAL AUTHORITY |
| Other Organization Name | HENDRY REGIONAL INTERVENTIONAL PAIN THERAPY |
| Practice Address |
530 W Sagamore Ave Clewiston FL 33440-3514 |
| Practice Telephone | 8639023006 |
| Practice Fax Number | 8639832793 |
| Mailing Telephone | 8639023006 |
| Mailing Fax Number | 8639832793 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-10-23 |
| Authorized Official Name | MR. LYNN BEASLEY (CEO) |
| Authorized Official Telephone | 8639023076 |
| Is Organization Subpart | Y |
| Parent Organization Name | HENDRY COUNTY HOSPITAL AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
3995 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| HENDRY REGIONAL INTERVENTIONAL PAIN THERAPY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881900850 | Hendry County Hospital Authority | Clinic/Center | 542 W Sagamore Ave, Clewiston, FL 33440-3514 | 2010-08-27 |
| 1699915413 | Hendry County Hospital Authority | Clinic/Center | 532 W Sagamore Ave, Clewiston, FL 33440-3514 | 2009-03-06 |
| 1396098844 | Hendry County Hospital Authority | Clinic/Center | 532 W Sagamore Ave, Clewiston, FL 33440-3514 | 2012-10-22 |
| 1871869594 | Hendry County Hospital Authority | Audiologist | 530 W Sagamore Ave, Clewiston, FL 33440-3514 | 2012-03-27 |
| 1326335076 | Hendry County Hospital Authority | Clinic/Center | 542 W Sagamore Ave, Clewiston, FL 33440-3514 | 2011-07-01 |
| 1588859623 | Hendry County Hospital Authority | Clinic/Center | 450 S Main St, Suite 1, Labelle, FL 33935-4629 | 2007-09-12 |
| 1376567719 | Hendry County Hospital Authority | Medicare Defined Swing Bed Unit | 524 W Sagamore Ave, Clewiston, FL 33440-3514 | 2006-07-27 |
| 1356360424 | Hendry County Hospital Authority | Specialist | 524 W Sagamore Ave, Clewiston, FL 33440-3514 | 2006-07-19 |
| 1053331694 | Hendry County Hospital Authority | Clinic/Center | 500 W Sagamore Ave, Clewiston, FL 33440-3514 | 2006-07-19 |
| 1336165935 | Hendry County Hospital Authority | Specialist | 524 W Sagamore Ave, Clewiston, FL 33440-3514 | 2006-07-15 |
| Street Address |
530 W SAGAMORE AVE |
| City | CLEWISTON |
| State | FL |
| Zip Code | 33440-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689893935 | Michael A Garvin Dpm Pa | Podiatrist | 530 W Sagamore Ave, Clewiston, FL 33440-3514 | 2007-04-25 |
| 1871869594 | Hendry County Hospital Authority | Audiologist | 530 W Sagamore Ave, Clewiston, FL 33440-3514 | 2012-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376072132 | Seminole Pharmacy | Pharmacy | 31055 Josie Billie Highway, Clewiston, FL 33440 | 2017-06-06 |
| 1740551530 | Seminole Tribe of Florida | Clinic/Center | 30851 Buffalo Jim Loop Road, Clewiston, FL 33440 | 2012-01-25 |
| 1184850901 | Elizabeth Boykin | Nurse Practitioner | 31055 Josie Billie Hwy, Clewiston, FL 33440 | 2009-06-08 |
| 1861683237 | Antoinette Marie Pavey-mcdaniel | Nurse Practitioner | 203 S Gloria St, Hendry Regional Corp Health, Clewiston, FL 33440 | 2007-08-09 |
| 1225229909 | Kurt Gabriel Hausy | Dentist | 316 E. Trinidad Ave., Clewiston, FL 33440 | 2007-08-07 |
| 1265565527 | Joanne Louise Vorhees | Nurse Practitioner | 1100 South Olympia St, Hendry County Health Department, Clewiston, FL 33440 | 2007-03-14 |
| 1831222850 | Richard J Anton | Optometrist | 1005 W. Sugarland Hwy, Walmart Nat Vision Cen, Clewiston, FL 33440 | 2007-03-13 |
| 1932278017 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 28280 E Tu Makee Way, Clewiston, FL 33440 | 2006-11-06 |
| 1720342173 | Vandhana Bhagwan Kiswani-barley | Family Medicine | 31055 Josie Billie Hwy, Clewiston, FL 33440 | 2012-06-29 |
| 1275782492 | Juan and John Drugs | Pharmacy | 340 E Sugarland Hwy, Suite B, Clewiston, FL 33440 | 2008-09-11 |
| Find all providers in zip 33440 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780218180 | Alicia's LLC | Clinic/Center | 6798 Crosswinds Dr N Ste C102, St Petersburg, FL 33710-5477 | 2020-02-25 |
| 1457815474 | Kadia Medical, LLC | Clinic/Center | 813 Deltona Blvd Ste A, Deltona, FL 32725-7154 | 2019-01-23 |
| 1891262358 | First Coast Pain Consultants Pllc | Clinic/Center | 105 Whitehall Dr Ste 115, St Augustine, FL 32086-5269 | 2018-11-01 |
| 1346738796 | Advanced Pain Management and Anesthesiology | Clinic/Center | 4209 E. Busch Blvd, Tampa, FL 33617 | 2018-05-01 |
| 1710482948 | Aktive Motion Physical Therapy Inc | Clinic/Center | 1250 9th St N Ste 204, Naples, FL 34102 | 2018-03-28 |
| 1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
| 1962917153 | Rejuveunique, Inc | Clinic/Center | 4259 10th Ave N Ste B, Palm Springs, FL 33461-2323 | 2017-12-10 |
| 1457866782 | Freedom Pain Management, Lcc | Clinic/Center | 8198 S Jog Rd Ste 100, Boynton Beach, FL 33472-2998 | 2017-12-08 |
| 1134632474 | North Florida Sports and Spine Center Inc. | Clinic/Center | 1540 Business Center Dr Ste C, Fleming Island, FL 32003-4419 | 2017-11-08 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HENDRY COUNTY HOSPITAL AUTHORITY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.