Healthcare Provider Details

I. General information

NPI: 1831117795
Provider Name (Legal Business Name): LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC..
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 10/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 EAST HOSPITAL DRIVE SUITE 530
WEST COLUMBIA SC
29169
US

IV. Provider business mailing address

470 HULON LANE ATTN: VP- REVENUE CYCLE
WEST COLUMBIA NC
29169
US

V. Phone/Fax

Practice location:
  • Phone: 803-796-7270
  • Fax: 803-796-0106
Mailing address:
  • Phone: 803-796-7270
  • Fax: 803-796-0106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MELINDA P KRUZNER
Title or Position: SR. VP & CFO
Credential:
Phone: 803-791-2000