NPIMap

Organization Active NPI

Lexington Regional Health Center

Doing business as Lexington Regional Health Center Medical Clinic

  • Rural Health Clinic/Center
  • Lexington, NE
National Provider Identifier
1144888579
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
Doing business as
Lexington Regional Health Center Medical Clinic
Practice address
1101 Buffalo BND Ste a
Lexington, NE 68850-1528
Phone
(308) 324-8308
NPI assigned
May 31, 2019
Last updated
Jul 28, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
LEXINGTON REGIONAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X

Addresses

Primary practice location

1101 Buffalo BND Ste a
Lexington, NE 68850-1528

Mailing address

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

Other names 1

  • LEXINGTON REGIONAL HEALTH CENTER MEDICAL CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060105000221 NE Part B Supplier - Clinic/Group Practice 2860415874 Receives reassigned benefits from 66 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lexington, NE
O20191126002111 NE Part A Provider - Rural Health Clinic 2860415874 Practice locations: Lexington, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144888579. Details of each certification follow.

Rural health clinic certification: CCN 288554

Legal name
LEXINGTON REGIONAL HEALTH CENTER
Doing business as
LEXINGTON REGIONAL HEALTH CENTER MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 15, 2020
Last certification
Apr 15, 2020
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
1101 Buffalo BND
Ste a
Lexington, NE 68850-1528
Related CCNs
281361

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

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 4

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

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
28D2170101Lexington Regional Health Center - Medical Clinic1101 Buffalo Bend Suite a, Lexington, NE 68850Certificate of waiverAug 1, 2027

National Provider Directory

National Provider Directory
Part of
Lexington Regional Health Center

Locations

1101 Buffalo Bnd
Ste A
Lexington, NE 68850
Phone (308) 324-8308

Ownership & related parties

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
Robert H Anderson Individual Corporate Officer Jul 19, 2014
Corporate Director Sep 1, 2011
Francisca Acosta Carlson Individual W-2 Managing EmployeeMD; Mar 15, 2022
Operational/Managerial ControlMedical Director Mar 15, 2022
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

Owners & managing parties with NPI records 1

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

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.

Practitioners & affiliated clinicians

Practitioners 61

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 61

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1144888579",
    "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": "1101 BUFFALO BND STE A",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688501528",
            "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": "2019-05-31",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEXINGTON REGIONAL HEALTH CENTER MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, NE

Sources for this page

Verify at the official NPI Registry.