Lexington Primary Care
Organization Active NPI Rural Health Clinic/Center · Lexington, MS
NPI 1972617876 · NPPES record last updated Aug 12, 2008
Key facts
- NPI
- 1972617876
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- R851692 (MS)
- Legal business name
- LEXINGTON PRIMARY CARE
- Practice address
- 110 Tchula Street
Lexington Primary Care
Lexington, MS 39095 - Phone
- (662) 834-1855
- Fax
- (662) 834-4953
- NPI assigned
- Aug 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Pauline Hathcock, FNP
- Title
- Nurse Practitioner
- Phone
- (662) 834-1855
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Greenwood Leflore Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | R851692 | MS | Yes |
Addresses
Primary practice location
110 Tchula Street
Lexington Primary Care
Lexington, MS 39095
Mailing address
PO Box 249
Lexington, MS 39095-0249
Phone (662) 834-1855
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0115646 | Medicaid | MS |
Other providers in Lexington, MS
- Samuel Reid Lester
- Lexington Dental, PLLC
- Lexington Discount Pharmacy
- Lexington Manor Nursing Center LLC
- Lexington Manor Senior Care LLC
- Lexington Rural Heath Clinic
- Shelby Lipe
- Leslee S Loden
- Magnolia Medical Supplies, LLC
- Mallory Community Health
All providers in Lexington, MS · Rural Health Clinic/Center in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.