Organization
LEXINGTON COUNTY HEALTH SERV
Active
Parent organization
LEXINGTON COUNTY HEALTH SERV
Other names
Lexington Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEXINGTON COUNTY HEALTH SERV
Authorized official
MELINDA SARVIS (EXECUTIVE VP)
(803) 791-2000
Entity
Organization
Contact information
Practice address
2720 SUNSET BLVD, ATTN CREDENTIALING, WEST COLUMBIA, SC 29169-4810
(803) 791-2000
Mailing address
PO BOX 896239, CHARLOTTE, NC 28289-6239
(803) 791-2000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
208M00000X
Hospitalist Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400738
—
SC
01
—
578074077003
TRICARE
SC
Enumeration date
07/18/2006
Last updated
11/05/2020
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