Lexington Pediatric Practice

LBN: Lexington County Health Services District, Inc.
Lexington Pediatric Practice is an health care organization with primary practice located at 811 West Main Street Ste 204, Lexington SC 29072. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Lexington County Health Services District, Inc. can be contacted via phone (803) 359-8855, or through Kruzner, Melinda P via phone (803) 791-2000.

Contact Information

Primary practice address
811 West Main Street Ste 204 Lexington SC 29072
Fax: (803) 359-1257
Website:
Authorized official contact:
Name: Kruzner, Melinda P

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1861418329
LBN Legal business name Lexington County Health Services District, Inc.
DBA Doing business as Lexington Pediatric Practice
Authorized official Kruzner, Melinda P
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 15th, 2006
Last updated Jun 25th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861418329 NPPES
South Carolina MEDICAID GP0991

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