| Samuel U. Rodgers Health Center Lexington High School | |
|
2309 Aull Ln Lexington MO 64067 | |
| (660) 259-4391 | |
| (660) 259-2166 |
| Full Name | Samuel U. Rodgers Health Center Lexington High School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2309 Aull Ln, Lexington, Missouri |
| Authorized Official Name and Position | Hilda Fuentes (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8168894600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel U. Rodgers Health Center Lexington High School 825 Euclid Ave Kansas City MO 64124-2323 Ph: (816) 474-4920 | Samuel U. Rodgers Health Center Lexington High School 2309 Aull Ln Lexington MO 64067 Ph: (660) 259-4391 |
| NPI Number | 1982002549 |
|---|---|
| Provider Enumeration Date | 12/15/2014 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982002549 | NPI | - | NPPES |
| 1982002549 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Missouri) | Primary |
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