Active NPI
Lexington Clinic Corp
- Rural Health Clinic/Center
- Lexington, TN
National Provider Identifier
1508955832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- LEXINGTON CLINIC CORP
- Practice address
- 249 W Church St
Lexington, TN 38351-2013 - Phone
- (731) 968-4477
- Fax
- (731) 967-1202
- NPI assigned
- Oct 12, 2006
- Organization subpart
- Yes
- Parent organization
- LEXINGTON CLINIC CORP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larry Henson
- Title
- RCD
- Phone
- (336) 944-6420
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | TN | Primary |
Addresses
Primary practice location
249 W Church St
Lexington, TN 38351-2013
Mailing address
200 W Church St
Lexington, TN 38351-2038
Phone (731) 968-3646
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0443962 | Medicaid | TN | |
| 1513805 | Medicaid | TN |
Other names 1
- Lexington Family Care Clinic
National Provider Directory
National Provider Directory- Part of
- Lexington Clinic Corp
Ownership & related parties
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.
-
- Family Medicine Physician
- Lexington, TN
- NPI 1780652107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621468800000",
"number": "1508955832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W CHURCH ST",
"city": "LEXINGTON",
"state": "TN",
"postal_code": "383512038",
"telephone_number": "731-968-3646",
"fax_number": "731-968-3646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 W CHURCH ST",
"city": "LEXINGTON",
"state": "TN",
"postal_code": "383512013",
"telephone_number": "731-968-4477",
"fax_number": "731-967-1202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEXINGTON CLINIC CORP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEXINGTON CLINIC CORP",
"enumeration_date": "2006-10-12",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A",
"authorized_official_last_name": "HENSON",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "RCD",
"authorized_official_telephone_number": "336-944-6420"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0443962",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1513805",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lexington Family Care Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lexington Family Care Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lexington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.