# LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
- **Other names:** Lexington Medical Center Northeast Rehab
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679181713
- **Legal business name:** LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
- **Authorized official:** TIFFANY AYERS (CREDENTIALING MANAGER)
- **Authorized official phone:** (803) 935-8292

## Contact information

- **Practice address:** 103 SUMMIT CENTRE DR, COLUMBIA, SC 29229-7613
- **Practice address phone:** (803) 936-7220
- **Practice address fax:** (803) 926-6811
- **Mailing address:** 470 HULON LANE, ATTN: VP - REVENUE CYCLE, WEST COLUMBIA, SC 29169
- **Mailing address phone:** (803) 936-7220
- **Mailing address fax:** (802) 926-6811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/15/2020
- **Last updated:** 07/15/2020