Lexington Hospital Corporation

Organization Active NPI Emergency Medicine Physician · Lexington, TN

NPI 1083809669 · NPPES record last updated Jan 13, 2023

Key facts

NPI
1083809669
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
LEXINGTON HOSPITAL CORPORATION
Practice address
200 West Church Street
Lexington, TN 38351-2014
Phone
(731) 968-3646
Fax
(731) 968-8113
NPI assigned
Sep 7, 2007
Organization subpart
No

Authorized official

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 5

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

Practitioners 57

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

View all 57

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20090324000611 TN Part B Supplier - Clinic/Group Practice 7719896414 Receives reassigned benefits from 55 practitioners
2 other NPIs on this enrollment
Practice locations: Linden, TN; Lexington, TN; Erin, TN; Brownsville, TN

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207P00000X Yes
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X
Nuclear Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2085N0904X

Addresses

Primary practice location

200 West Church Street
Lexington, TN 38351-2014

Mailing address

200 West Church Street
Lexington, TN 38351-2014
Phone (731) 968-3646

Other providers in Lexington, TN

All providers in Lexington, TN · Emergency Medicine Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.