Lexington County Health Services District, Inc..

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC..

Practice address

146 East Hospital Drive
Suite 530
West Columbia, SC 29169

Phone

(803) 796-7270

Fax

(803) 796-0106

NPI assigned

Jul 18, 2006

Organization subpart

Yes

Parent organization

LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.As reported in NPPES

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

Authorized official

Name

Melinda P Kruzner

Title

Sr. VP & Cfo

Phone

(803) 791-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Internal Medicine Associates Doing business as

Part of

Lexington County Health

Locations

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1831117795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 HULON LANE",
            "address_2": "ATTN: VP- REVENUE CYCLE",
            "city": "WEST COLUMBIA",
            "state": "NC",
            "postal_code": "29169",
            "telephone_number": "803-796-7270",
            "fax_number": "803-796-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 EAST HOSPITAL DRIVE",
            "address_2": "SUITE 530",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "803-796-7270",
            "fax_number": "803-796-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC..",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "KRUZNER",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SR. VP & CFO",
        "authorized_official_telephone_number": "803-791-2000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA0953",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Internal Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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 Servies District, Inc.
• Lexington Dental PA
• Lexington Endodontics
• Lexington Health Care Partners LLC
• Lexington Health Inc

• Internal Medicine Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.