Organization
LEXINGTON CLINIC CORP
Active
Parent organization
LEXINGTON CLINIC CORP
Other names
Lexington Family Care Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEXINGTON CLINIC CORP
Authorized official
LARRY HENSON (RCD)
(336) 944-6420
Entity
Organization
Contact information
Practice address
249 W CHURCH ST, LEXINGTON, TN 38351-2013
(731) 968-4477
(731) 967-1202
Mailing address
200 W CHURCH ST, LEXINGTON, TN 38351-2038
(731) 968-3646
(731) 968-3646
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0443962
—
TN
05
—
1513805
—
TN
Enumeration date
10/12/2006
Last updated
05/20/2021
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