Provider Demographics
NPI:1417958331
Name:LEXINGTON MEDICAL CENTER
Entity Type:Organization
Organization Name:LEXINGTON MEDICAL CENTER
Other - Org Name:LEXINGTON MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:B
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:MHA, FACHE
Authorized Official - Phone:336-238-4213
Mailing Address - Street 1:PO BOX 1817
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27293-1817
Mailing Address - Country:US
Mailing Address - Phone:336-248-5161
Mailing Address - Fax:336-248-5967
Practice Address - Street 1:250 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-6792
Practice Address - Country:US
Practice Address - Phone:336-248-5161
Practice Address - Fax:336-248-5967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-02
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCH0027282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC00312OtherNC BLUE CROSS/BLUE SHIELD
NC3400096Medicaid
WV0167860000Medicaid
NC340096Medicare Oscar/Certification
NC260527Medicare Oscar/Certification