Lexington Hospital Corporation
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Lexington, TN
NPI 1073584751 · NPPES record last updated May 19, 2021
Key facts
- NPI
- 1073584751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- 0000000058 (TN)
- Legal business name
- LEXINGTON HOSPITAL CORPORATION
- Practice address
- 200 W Church St
Lexington, TN 38351-2014 - Phone
- (731) 968-3646
- NPI assigned
- Jan 30, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- LEXINGTON HOSPITAL CORPORATION
Authorized official
- Name
- Larry Henson
- Title
- RCD
- Phone
- (336) 944-6420
Owners & managing parties with NPI records 1
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 5
Related certifications (CCN) 1
Facilities with the same owner 10
Practitioners 42
-
Tammy Colwick Milholen, NP-C
-
Nathan W Nails, A.P.R.N.
-
Anthony H. Ramirez, M.D.
-
Eric R Telfer, M.D.
-
Candace S Willis, FNP
-
Stephanie J Young, MSN, APRN, NP-C
-
Wyman Gilmore III, M.D.
-
David Christopher Henley, M.D.
-
Laura Baker, NP-C
-
Kristen Machell Bennett, APRN, FNP-C
-
Christopher Hall Bratton, M.D.
-
Walter Frizzell Fletcher, M.D.
-
Reggie Allan Henderson, M.D.
-
Stephanie L James, APN
-
Rita Kay McCoy, MSN, APRN, FNP-C
-
Dennis Paul Orr, DO
-
Kaushal Patel, M.D.
-
Chad C Scott, FNP MSN
-
Jessica Stanfill, FNP
-
Alan Davis Weatherford, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Hospital certification: CCN 44U008
- Legal name
- LEXINGTON HOSPITAL CORPORATION
- Doing business as
- HENDERSON COUNTY COMMUNITY HOSPITAL
- Organization structure
- Corporation · Proprietary
- Incorporated
- Oct 29, 2002 in TN
- Enrollment address
- 200 W Church St
Lexington, TN 38351-2038 - Hospital subgroups
- General, Acute care, Swing-bed approved
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Braden Health Inc |
5% Or Greater Direct Ownership Interest | Apr 1, 2020 | 100% |
| Beau R Braden |
Corporate Officer |
Apr 1, 2020 | |
| Corporate Director |
Apr 1, 2020 | ||
| Brooks Braden |
Corporate Director |
Apr 1, 2020 | |
| Gary Stewart |
Corporate Director | Apr 1, 2020 | |
| W-2 Managing Employee |
Apr 1, 2020 | ||
| Joseph Thomas |
Corporate Director |
Apr 1, 2020 | |
| Larry Henson |
Corporate Officer | May 19, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101011000273 | TN | Part a Provider - Hospital | 7719896414 | Practice locations: Lexington, TN |
National Provider Directory
- Tax ID family
- Lexington Hospital Corp
- Part of
- Lexington Hospital Corp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 0000000058 | TN | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3272 | Medicaid | TN | |
| 00440008 | Medicaid | TN | |
| 4050783 | Other | BCBS |
Other names
- Henderson County Community Hospital
Other providers in Lexington, TN
- Lexington Family Practice LLC
- Lexington Health Care and Rehabilitation LLC
- Lexington Home Care Services LLC
- Lexington Hospital Corporation
- Lexington Hospital Corporation
- Lexington Hospital Corporation
- Lexington Hospital Corporation
- Lexington Hospital Corporation
- Lexington Hospital Corporation
- Lexington Hospital Corporation
All providers in Lexington, TN · Medicare Defined Swing Bed Hospital Unit in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.