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Organization

MIDWEST DIVISION - LRHC LLC

Active
Parent organization
MIDWEST DIVISION - LRHC LLC
Other names
LEXINGTON MEDICAL CLINIC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MIDWEST DIVISION - LRHC LLC
Authorized official
DARREL BOX (CEO LRHC)
(660) 259-6852
Entity
Organization

Contact information

Practice address
1026 MAIN ST, LEXINGTON, MO 64067-1345
(660) 259-2216
(660) 259-3942
Mailing address
1026 MAIN ST, LEXINGTON, MO 64067-1345
(660) 259-2216
(660) 259-3942

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010568509
MO
05
540568508
MO
05
595956202
MO
Enumeration date
04/20/2006
Last updated
01/06/2022
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