Organization Active NPI

Lexington Clinic Corp

  • Rural Health Clinic/Center
  • Lexington, TN
National Provider Identifier
1508955832
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
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 CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0443962MedicaidTN
1513805MedicaidTN

Other names 1

  • Lexington Family Care Clinic Doing business as

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.

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.

Verify at the official NPI Registry.