Provider Demographics
NPI:1376516120
Name:LEXMEDICAL, INC.
Entity Type:Organization
Organization Name:LEXMEDICAL, INC.
Other - Org Name:WOMEN'S CENTER OF LEXINGTON AND SALISBURY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:G
Authorized Official - Last Name:MINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-243-4653
Mailing Address - Street 1:PO BOX 1537
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27293-1537
Mailing Address - Country:US
Mailing Address - Phone:336-243-4656
Mailing Address - Fax:336-243-4664
Practice Address - Street 1:7 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-6768
Practice Address - Country:US
Practice Address - Phone:336-243-2431
Practice Address - Fax:336-243-2359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-10
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890193YMedicaid
NCCG1312OtherRAILROAD MEDICARE
NC0193YOtherBCBS GROUP NUMBER
NC2706999OtherAETNA HMO
NC5214450OtherAETNA PPO
NC1123680008Medicare NSC
NC1123680008Medicare PIN
NC1123680007Medicare NSC
NC2319478AMedicare PIN
NC2706999OtherAETNA HMO