Healthcare Provider Details

I. General information

NPI: 1407211220
Provider Name (Legal Business Name): LEXINGTON REGIONAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2015
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 SMITH AVE
ELWOOD NE
68937-5247
US

IV. Provider business mailing address

PO BOX 980
LEXINGTON NE
68850-0980
US

V. Phone/Fax

Practice location:
  • Phone: 308-785-8175
  • Fax:
Mailing address:
  • Phone: 308-324-5651
  • Fax: 308-324-8359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JASON T DOUGLAS
Title or Position: ADMINISTRATOR & CEO
Credential:
Phone: 308-324-5651