Lexington County Health Services District, Inc.
Organization Active NPI Urgent Care Clinic/Center · Lexington, SC
NPI 1194380600 · NPPES record last updated Jun 24, 2020
Key facts
- NPI
- 1194380600
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
- Practice address
- 154 Saluda Pointe CT
Lexington, SC 29072 - Phone
- (803) 785-3590
- NPI assigned
- May 9, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Authorized official
- Name
- Tiffany Ayers
- Title
- Credentialing Manager
- Phone
- (803) 935-8292
Owned or controlled facilities with NPI records 1
Member organizations 4
Practitioners 62
-
Steven E Battle, DO, MPH
-
Jazman Ethel Beach, M.D.
-
Lee J Boguski, MD
-
Misty Price Bost, M.D.
-
Daniel C Brown, M.D.
-
Edwin R Brown, MD
-
Brenna M Brucker, MD
-
Dana Johnson Cochran, NP-C
-
Mollie Carter Cotty, NP-C
-
Erik Steven Crook, M.D.
-
Michael T Crump, MD
-
Brandi L Derrick, MD
-
Henry Evan Dingle, M.D.
-
Andrew R Donato, MD
-
Ashley Kuklentz Doscher, M.D.
-
Jamie Easterling, FNP-C
-
Gwendolyn C Galphin, M.D.
-
Stephen A Grant, M.D.
-
Virginia I Hall, FNP-BC
-
Lashell L Head, FNP-BC
-
Jon Patrick Jennings, M.D.
-
Stephanie M Jokerst, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Bertha K Rikard HCC |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 1989 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191118002076 | SC | Part B Supplier - Clinic/Group Practice | 7618871799 |
Receives reassigned benefits from 62 practitioners Practice locations: Lexington, SC |
National Provider Directory
- Part of
- Lexington County Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
154 Saluda Pointe CT
Lexington, SC 29072
Mailing address
470 Hulon Lane
Attn: VP- Revenue Cycle
West Columbia, SC 29169
Phone (803) 791-2000
Other names
- Lexington Medical Center Saluda Pointe
Other providers in Lexington, SC
- Lexington County Health Serv
- Lexington County Health Serv
- Lexington County Health Service District,Inc
- Lexington County Health Services District Inc
- Lexington County Health Services District, Inc.
- Lexington County Health Services District, Inc.
- Lexington County Health Services District, Inc.
- Lexington County Health Services District, Inc.
- Lexington County Health Services District, Inc.
- Lexington County Health Services District, Inc.
All providers in Lexington, SC · Urgent Care Clinic/Center in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2020. 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.