Provider Demographics
NPI:1851632616
Name:LANCASTER REGIONAL HOSPITAL, LP
Entity Type:Organization
Organization Name:LANCASTER REGIONAL HOSPITAL, LP
Other - Org Name:CRESCENT MEDICAL CENTER LANCASTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SPEIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:469-297-5336
Mailing Address - Street 1:2600 W PLEASANT RUN RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-1114
Mailing Address - Country:US
Mailing Address - Phone:972-230-8888
Mailing Address - Fax:469-297-5321
Practice Address - Street 1:2600 W PLEASANT RUN RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-1114
Practice Address - Country:US
Practice Address - Phone:972-230-8888
Practice Address - Fax:972-668-9744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-04
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX331242301Medicaid
TX331242301Medicaid