Provider Demographics
NPI:1467409680
Name:LEXINGTON HOSPITALISTS, INC.
Entity Type:Organization
Organization Name:LEXINGTON HOSPITALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP LEXINGTON HOSPITALISTS, INC.
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-889-2223
Mailing Address - Street 1:620 HOWARD AVE
Mailing Address - Street 2:ALTOONA REGIONAL HEALTH SYSTEM
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-4804
Mailing Address - Country:US
Mailing Address - Phone:814-889-2223
Mailing Address - Fax:
Practice Address - Street 1:620 HOWARD AVE
Practice Address - Street 2:ALTOONA REGIONAL HEALTH SYSTEM
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-4804
Practice Address - Country:US
Practice Address - Phone:814-889-2223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1886864OtherHIGHMARK NUMBER
PA1554452OtherGATEWAY NUMBER
PA10174524000011Medicaid
PA103828Medicare ID - Type UnspecifiedLEXINGTON HOSP. #