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Organization

HENDRY COUNTY HOSPITAL AUTHORITY

Active
Other names
Dr. James D. Forbes Family Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LYNN W. BEASLEY (CEO)
(863) 902-3076
Entity
Organization

Contact information

Practice address
500 W SAGAMORE AVE, CLEWISTON, FL 33440-3514
(863) 902-3032
(863) 983-6655
Mailing address
500 W SAGAMORE AVE, CLEWISTON, FL 33440-3514
(863) 902-3032
(863) 983-6655

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
3995
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
253668401
FL
Enumeration date
07/19/2006
Last updated
10/23/2012
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