NPIMap

Midwest Division - LRHC LLC

Organization Active NPI Rural Health Clinic/Center · Lexington, MO

NPI 1053376947 · NPPES record last updated Jan 6, 2022

Key facts

NPI
1053376947
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
MIDWEST DIVISION - LRHC LLC
Practice address
1026 Main St
Lexington, MO 64067-1345
Phone
(660) 259-2216
Fax
(660) 259-3942
NPI assigned
Apr 20, 2006
Organization subpart
Yes
Parent organization (as reported)
MIDWEST DIVISION - LRHC LLC

Authorized official

Name
Darrel Box
Title
Ceo LRHC
Phone
(660) 259-6852

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 49

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0443011Lexington Medical Clinic
1026 Main Street, Lexington, MO 64067		Provider-performed microscopyDec 20, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Rural health clinic certification: CCN 268551

Legal name
MIDWEST DIVISION - LRHC LLC
Doing business as
LEXINGTON MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 21, 2002
Last certification
Oct 2, 2025
Ownership / control type
1B
Most recent change of ownership
Apr 1, 2003 (1 total)
Organization structure
LLC · Proprietary
Enrollment address
1026 Main St
Lexington, MO 64067-1345
Related CCNs
261320

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
HCA Inc
Organization · Nashville, TN
For-profit 		5% Or Greater Indirect Ownership Interest Jul 6, 2011 100%
Teri R James
Individual 		Corporate Officer
Cfo		 Feb 1, 2008
W-2 Managing Employee
Cfo		 Feb 1, 2008
Eric D Smith
Individual 		Contracted Managing Employee
Vice President of Reimbursement		 Mar 1, 2021
HCA Healthcare Inc
Organization · Nashville, TN
Holding company 		5% Or Greater Indirect Ownership Interest May 8, 2017 100%
Frisco Holding II
Organization · Wilmington, DE
Holding company, For-profit, Owned by another organization or individual 		5% Or Greater Indirect Ownership Interest Feb 6, 2026 16%
Hercules Holding II
Organization · Nashville, TN
Holding company, For-profit, Owned by another organization or individual 		5% Or Greater Indirect Ownership Interest Sep 30, 2016 14%
Healthtrust Inc - the Hospital Company
Organization · Nashville, TN
For-profit 		5% Or Greater Indirect Ownership Interest Jul 6, 2011 100%
Darrel Box
Individual 		Corporate Officer
Ceo		 Jan 28, 2013
W-2 Managing Employee
Ceo		 Jan 28, 2013
Midwest Holdings, Inc.
Organization · Nashville, TN
For-profit 		5% Or Greater Direct Ownership Interest Jul 6, 2011 100%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070912000019 MO Part a Provider - Rural Health Clinic 0941119150 Practice locations: Lexington, MO

National Provider Directory

Tax ID family
Midwest Division-LRHC LLC (9 organizations share this tax ID)
Part of
Midwest Division-LRHC LLC

Locations

319 W US Hwy 40
Odessa, MO 64076

316 W US Highway 40
Odessa, MO 64076
Phone (660) 259-6893

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

1026 Main St
Lexington, MO 64067-1345

Mailing address

1026 Main St
Lexington, MO 64067-1345
Phone (660) 259-2216

Other identifiers

IdentifierTypeStateIssuer
540568508MedicaidMO
595956202MedicaidMO
010568509MedicaidMO

Other names

  • LEXINGTON MEDICAL CLINIC Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 6, 2022.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1053376947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 MAIN ST",
            "city": "LEXINGTON",
            "state": "MO",
            "postal_code": "640671345",
            "telephone_number": "660-259-2216",
            "fax_number": "660-259-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 MAIN ST",
            "city": "LEXINGTON",
            "state": "MO",
            "postal_code": "640671345",
            "telephone_number": "660-259-2216",
            "fax_number": "660-259-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST DIVISION - LRHC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST DIVISION - LRHC LLC",
        "enumeration_date": "2006-04-20",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "BOX",
        "authorized_official_first_name": "DARREL",
        "authorized_official_title_or_position": "CEO LRHC",
        "authorized_official_telephone_number": "660-259-6852"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540568508",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "595956202",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010568509",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEXINGTON MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LEXINGTON MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, MO

All providers in Lexington, MO · Rural Health Clinic/Center in Missouri

Sources for this page

Verify at the official NPI Registry.