# HENDRY COUNTY HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HENDRY REGIONAL MEDICAL CENTER
- **Other names:** HENDRY REGIONAL WOUND CARE AND HYPERBARIC MEDICINE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326335076
- **Legal business name:** HENDRY REGIONAL MEDICAL CENTER
- **Authorized official:** MR. LYNN W. BEASLEY CEO (CEO)
- **Authorized official phone:** (863) 902-3076

## Contact information

- **Practice address:** 542 W SAGAMORE AVE, CLEWISTON, FL 33440-3514
- **Practice address phone:** (863) 902-3052
- **Practice address fax:** (863) 983-6655
- **Mailing address:** 542 W SAGAMORE AVE, CLEWISTON, FL 33440-3514
- **Mailing address phone:** (863) 902-3052
- **Mailing address fax:** (863) 983-6655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 3995 | FL | Yes |

## Other

- **Enumeration date:** 07/01/2011
- **Last updated:** 07/01/2011