Healthcare Provider Details

I. General information

NPI: 1699732362
Provider Name (Legal Business Name): LEXINGTON REGIONAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 N ERIE ST
LEXINGTON NE
68850-1571
US

IV. Provider business mailing address

PO BOX 980
LEXINGTON NE
68850-0980
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number220004
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number220004
License Number StateNE

VIII. Authorized Official

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