MEDICARE: LEXINGTON HEALTH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1114525250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEXINGTON HEALTH INC

Provider Business Mailing Address
First Line	:	PO BOX 6069
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29171-6069
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	811 W MAIN ST
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29072-2507
Country	:	US
Telephone Number	:	803-358-6100
Fax Number	:	803-358-6105

Authorized Official
Title or Position	:	SENIOR VP/CFO
Name	:	JEFFREY BRILLHART
Credential	:
Telephone Number	:	803-791-2967

Provider Enumeration Date	:	10/12/2020
Last Update Date	:	04/01/2026

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Directions to “LEXINGTON HEALTH INC ” Practice Location

Language	Start Address	Practice Location

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