Organization
SAMUEL U. RODGERS HEALTH CENTER, INC
Active
Other names
Samuel U. Rodgers Health Center Lexington High School
Organization subpart
No
Provider details
NPI number
Authorized official
HILDA FUENTES MPA (CHIEF EXECUTIVE OFFICER)
(816) 889-4600
Entity
Organization
Contact information
Practice address
2309 AULL LN, LEXINGTON, MO 64067
(660) 259-4391
(660) 259-2166
Mailing address
825 EUCLID AVE, KANSAS CITY, MO 64124-2323
(816) 474-4920
(816) 889-1845
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982002549
—
MO
Enumeration date
12/15/2014
Last updated
06/11/2019
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