MEDICARE: HENDRY COUNTY SCHOOL BOARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154273084
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENDRY COUNTY SCHOOL BOARD

Provider Business Mailing Address
First Line	:	150 W COWBOY WAY
Second Line	:
City	:	LABELLE
State	:	FL
Zip	:	33935-4489
Country	:	US
Telephone Number	:	863-674-4165
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 W COWBOY WAY
Second Line	:
City	:	LABELLE
State	:	FL
Zip	:	33935-4489
Country	:	US
Telephone Number	:	863-674-4165
Fax Number	:

Authorized Official
Title or Position	:	BEHAVIORAL HEALTH DATA SPECIALIST
Name	:	MEGAN MARROQUIN
Credential	:
Telephone Number	:	863-674-4165

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/19/2026

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