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HENDRY-GLADES MENTAL HEALTH CLINIC INC. NPI 1588758478


NPI Information

NPI: 1588758478
Provider Name: HENDRY-GLADES MENTAL HEALTH CLINIC, INC.

Doing Business As: HENDRY-GLADES BEHAVIORAL HEALTH CENTER

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
601 W ALVERDEZ AVE
CLEWISTON, FL
ZIP 33440
Phone: (863) 983-1423
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HENDRY-GLADES MENTAL HEALTH CLINIC, INC. is a mental health (including community mental health center) clinic center in Clewiston, FL. HENDRY-GLADES MENTAL HEALTH CLINIC, INC. NPI is 1588758478. The provider is registered as an organization entity type.
The provider Is Doing Business As Hendry-glades Behavioral Health Center.

The provider's business location address is:

601 W ALVERDEZ AVE
CLEWISTON, FL
ZIP 33440-504
Phone: (863) 983-1423
Fax: (863) 983-1426

The provider's authorized official is Joseph F. Hosick .
The authorized official title is Ceo / Cfo and has the following contact phone number (863) 983-1423.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 12/17/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)0826AD8636-01FLORIDANo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)0822AD8636-00FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1060555701MEDICAIDFLORIDA
2060555703MEDICAIDFLORIDA
372147MEDICARE PINFLORIDA
4060555700MEDICAIDFLORIDA
5060555702MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.