NPIMap

Organization Active NPI

Lexington Regional Health Center

  • Rural Health Clinic/Center
  • Lexington, NE
National Provider Identifier
1104228451
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LEXINGTON REGIONAL HEALTH CENTER
Practice address
1105 N Erie St
Lexington, NE 68850-1504
Phone
(308) 324-8308
NPI assigned
Sep 18, 2014
Organization subpart
Yes
Parent organization
LEXINGTON REGIONAL HEALTH CENTERAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Jason T Douglas
Title
Administrator & Ceo
Phone
(308) 324-5651

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Owners & managing parties with NPI records 1

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

Other NPIs with the same Medicare PAC ID 6

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

Practitioners 25

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

View all 25

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2090587Lexington Regional Health Center Family1105 N Erie Street, Lexington, NE 68850Certificate of waiverJan 26, 2027

Medicare participation

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

Rural health clinic certification: CCN 288540

Legal name
LEXINGTON REGIONAL HEALTH CENTER
Doing business as
FAMILY MEDICINE SPECIALISTS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 24, 2015
Last certification
Sep 24, 2015
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
1105 N Erie St
Lexington, NE 68850-1504
Related CCNs
281361

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150708001637 NE Part A Provider - Rural Health Clinic 2860415874 Practice locations: Lexington, NE

All disclosed owners & managing parties 9

Medicare enrollment files

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

NameRoleSinceShare
Robert H Anderson Individual Corporate Officer Jul 19, 2014
Corporate Director Sep 1, 2011
Francisca Acosta Carlson Individual W-2 Managing EmployeeMD; Sep 24, 2015
Operational/Managerial ControlMedical Director Sep 24, 2015
Tami S Reynolds Individual Corporate Director Jun 11, 2024
Donald E Young Individual Corporate Director Jul 29, 2025
Patricia Samway Individual Corporate Officer Aug 29, 2023
Corporate Director Jun 28, 2022
Wade L Eschenbrenner Individual Corporate OfficerCfo May 26, 2015
W-2 Managing EmployeeCfo Jun 1, 2010
Operational/Managerial ControlCfo Jun 1, 2010
Jason Douglas Individual Corporate OfficerAdministrator & Ceo Mar 1, 2025
W-2 Managing EmployeeAdministrator & Ceo Mar 1, 2025
Operational/Managerial ControlAdministrator & Ceo Mar 1, 2025
Tucker T Case Individual Corporate Officer Jun 25, 2024
Corporate Director Jul 25, 2017
Dana a Steiner Individual W-2 Managing EmployeeAd;Chief Population Health & Qualit Nov 3, 2025
Operational/Managerial ControlChief Population Health & Qualit Nov 3, 2025

National Provider Directory

National Provider Directory
Tax ID family
Lexington Regional Ctr5 organizations share this tax ID, including this one
Part of
Lexington Regional Ctr

Other organizations with this tax ID 4

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

Locations

1105 N Erie St
Lexington, NE 68850
Phone (308) 324-8308

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

NPPES NPI Registry

Primary practice location

1105 N Erie St
Lexington, NE 68850-1504

Mailing address

PO Box 980
Lexington, NE 68850-0980
Phone (308) 324-5651

Other names 1

NPPES NPI Registry
  • FAMILY MEDICINE SPECIALISTS Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 28, 2025.

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1104228451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688500980",
            "telephone_number": "308-324-5651",
            "fax_number": "308-324-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N ERIE ST",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688501504",
            "telephone_number": "308-324-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON REGIONAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEXINGTON REGIONAL HEALTH CENTER",
        "enumeration_date": "2014-09-18",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR & CEO",
        "authorized_official_telephone_number": "308-324-5651"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY MEDICINE SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY MEDICINE SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, NE

Sources for this page

Verify at the official NPI Registry.