Healthcare Provider Details

I. General information

NPI: 1033888649
Provider Name (Legal Business Name): LEXINGTON HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2021
Last Update Date: 10/29/2024
Certification Date: 10/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 W CHURCH ST STE B
LEXINGTON TN
38351-2077
US

IV. Provider business mailing address

270 W CHURCH ST STE A
LEXINGTON TN
38351-2077
US

V. Phone/Fax

Practice location:
  • Phone: 731-271-5994
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LARRY HENSON
Title or Position: RCD
Credential:
Phone: 336-944-6420