# HENDRY COUNTY HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HENDRY COUNTY HOSPITAL AUTHORITY
- **Other names:** HENDRY REGIONAL AUDIOLOGY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871869594
- **Legal business name:** HENDRY COUNTY HOSPITAL AUTHORITY
- **Authorized official:** MR. LYNN BEASLEY (CEO)
- **Authorized official phone:** (863) 902-3076

## Contact information

- **Practice address:** 530 W SAGAMORE AVE, CLEWISTON, FL 33440-3514
- **Practice address phone:** (863) 902-3084
- **Practice address fax:** (863) 983-2948
- **Mailing address:** 530 W SAGAMORE AVE, CLEWISTON, FL 33440-3514
- **Mailing address phone:** (863) 902-3084
- **Mailing address fax:** (863) 983-2948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 3995 | FL | Yes |

## Other

- **Enumeration date:** 03/27/2012
- **Last updated:** 03/27/2012