NPIMap

Organization Active NPI

Lexington Hospital Corporation

Doing business as Henderson County Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Lexington, TN
National Provider Identifier
1073584751
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
0000000058 Issued in TN
Legal business name
LEXINGTON HOSPITAL CORPORATION
Doing business as
Henderson County Community Hospital
Practice address
200 W Church St
Lexington, TN 38351-2014
Phone
(731) 968-3646
NPI assigned
Jan 30, 2006
Last updated
May 19, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
LEXINGTON HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Larry Henson
Title
RCD
Phone
(336) 944-6420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 0000000058 TN Primary

Addresses

Primary practice location

200 W Church St
Lexington, TN 38351-2014

Mailing address

200 W Church St
Lexington, TN 38351-2038
Phone (731) 968-3646

Other identifiers 3

IdentifierTypeStateIssuer
00440008MedicaidTN
3272MedicaidTN
4050783OtherBCBS

Other names 1

  • Henderson County Community Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101011000273 TN Part A Provider - Hospital 7719896414 Practice locations: Lexington, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073584751. Details of each certification follow.

Hospital certification: CCN 44U008

Legal name
LEXINGTON HOSPITAL CORPORATION
Doing business as
HENDERSON COUNTY COMMUNITY HOSPITAL
Organization structure
CorporationProprietary
Incorporated
Oct 29, 2002 in TN
Enrollment address
200 W Church St
Lexington, TN 38351-2038
Hospital Swing-Bed Unit
Hospital subgroups
General, Acute care, Swing-bed approved

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

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Henderson County Community6 organizations share this tax ID, including this one
Part of
Henderson County Community

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Braden Health Inc Organization, Raleigh, NC Corporation, For-profit 5% Or Greater Direct Ownership Interest Apr 1, 2020 100%
Beau R Braden Individual Corporate OfficerCeo/Board Member Apr 1, 2020
Corporate DirectorCeo/Board Member Apr 1, 2020
Brooks Braden Individual Corporate DirectorCfo/Board Member Apr 1, 2020
Gary Stewart Individual Corporate Director Apr 1, 2020
W-2 Managing EmployeeCeo Apr 1, 2020
Joseph Thomas Individual Corporate DirectorBoard Member Apr 1, 2020
Larry Henson Individual Corporate Officer May 19, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Beau Braden
    • Emergency Medicine Physician
    • Ave Maria, FL
    • NPI 1902044985

    Corporate Director, Corporate Officer

    CMS ownership

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1073584751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W CHURCH ST",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383512038",
            "telephone_number": "731-968-3646",
            "fax_number": "731-968-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W CHURCH ST",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383512014",
            "telephone_number": "731-968-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEXINGTON HOSPITAL CORPORATION",
        "enumeration_date": "2006-01-30",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "RCD",
        "authorized_official_telephone_number": "336-944-6420"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TN",
            "license": "0000000058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440008",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3272",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4050783",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henderson County Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Henderson County Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, TN

Sources for this page

Verify at the official NPI Registry.