Provider Demographics
NPI:1649354713
Name:HARDEE COUNTYBOARD OF COUNTY COMMISSIONERS
Entity type:Organization
Organization Name:HARDEE COUNTYBOARD OF COUNTY COMMISSIONERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:YONCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-773-4362
Mailing Address - Street 1:149 KD REVELL RD
Mailing Address - Street 2:
Mailing Address - City:WAUCHULA
Mailing Address - State:FL
Mailing Address - Zip Code:33873-2051
Mailing Address - Country:US
Mailing Address - Phone:863-773-4362
Mailing Address - Fax:863-773-3827
Practice Address - Street 1:149 KD REVELL RD
Practice Address - Street 2:
Practice Address - City:WAUCHULA
Practice Address - State:FL
Practice Address - Zip Code:33873
Practice Address - Country:US
Practice Address - Phone:863-773-4362
Practice Address - Fax:863-773-3827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
590907218OtherRAILROAD MEDICARE
FL400115000Medicaid