SAMUEL U. RODGERS HEALTH CENTER, INC (NPI# 1982002549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982002549 |
| Entity Type | Organization |
| Organization Name | SAMUEL U. RODGERS HEALTH CENTER, INC |
| Other Organization Name | SAMUEL U. RODGERS HEALTH CENTER LEXINGTON HIGH SCHOOL |
| Practice Address |
2309 Aull Ln Lexington MO 64067 |
| Mailing Address |
825 Euclid Ave Kansas City MO 64124-2323 |
| Practice Telephone | 6602594391 |
| Practice Fax Number | 6602592166 |
| Mailing Telephone | 8164744920 |
| Mailing Fax Number | 8168891845 |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | HILDA FUENTES (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8168894600 |
| Authorized Official Credential | MPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1982002549 | 05 |
| Other Name | Type Code |
|---|---|
| Samuel U. Rodgers Health Center Lexington High School | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528559689 | Samuel U. Rodgers Health Center, Inc | Clinic/Center | 4531 Ne 44th Ter, Kansas City, MO 64117 | 2018-05-24 |
| 1275024333 | Samuel U. Rodgers Health Center, Inc | Clinic/Center | 4700 Ne Parvin Rd, Kansas City, MO 64117 | 2018-05-24 |
| 1194216259 | Samuel U. Rodgers Health Center, Inc | Clinic/Center | 3701 N Jackson Ave, Kansas City, MO 64117 | 2018-05-24 |
| 1003937020 | Samuel U. Rodgers Health Center, Inc | Clinic/Center | 2701 E 31st St, Kansas City, MO 64128 | 2007-04-03 |
| 1326674144 | Samuel U. Rodgers Health Center, Inc | Clinic/Center | 825 Euclid Ave, Kansas City, MO 64124-2323 | 2020-03-13 |
| Street Address |
2309 AULL LN |
| City | LEXINGTON |
| State | MO |
| Zip Code | 64067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245712793 | Maria Jean Mulvey | Speech-Language Pathologist | Lexington R-v School District Office 2323a, High School Drive, Lexington, MO 64067 | 2018-08-31 |
| 1396237863 | Maegen Mone Taylor | Dental Hygienist | 547 S Business Highway 13, Lexington, MO 64067 | 2018-05-31 |
| 1922513126 | Chelsea Tyler | Occupational Therapist | 2108 Main St, Lexington, MO 64067 | 2017-12-10 |
| 1811348014 | Lea Rich | Dentist | 811a South Business 13 Hwy, Lexington, MO 64067 | 2016-06-29 |
| 1629320296 | Lindsey Jordan Hall | Dental Hygienist | 811- A South 13 Highway, Lexington, MO 64067 | 2012-10-08 |
| 1164614053 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 811 S Business Highway 13 Ste A, Lexington, MO 64067 | 2007-08-14 |
| 1679642664 | Betsy Jill Maclaughlin | Social Worker | 525 State Hwy 13, Lexington, MO 64067 | 2006-11-06 |
| 1902909021 | Jeffrey O Johnson | Dentist | 611 S 13 Hwy, Lexington, MO 64067 | 2006-09-06 |
| 1194758987 | Penny A Dunning | Nurse Practitioner | 811a South Highway 13, Lexington, MO 64067 | 2006-07-08 |
| 1568492932 | City of Lexington | Ambulance | 535 S. Business Highway 13, Lexington, MO 64067 | 2006-07-03 |
| Find all providers in zip 64067 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295356731 | Health Care Coalition of Lafayette County | Clinic/Center | 811 S Business Highway 13, Lexington, MO 64067-1515 | 2020-05-06 |
| 1104348606 | Mallory Community Health | Clinic/Center | 9479 Brozville Rd, Lexington, MS 39095-7090 | 2017-07-17 |
| 1295282358 | Mallory Community Health | Clinic/Center | 9749 Brozville Road, Lexington, MS 39095 | 2016-09-07 |
| 1427504943 | Mallory Community Health | Clinic/Center | 12572 Highway 12, Lexington, MS 39095-8036 | 2016-08-26 |
| 1740624881 | Mallory Community Health | Clinic/Center | 300 Yazoo Street, Lexington, MS 39095 | 2013-04-19 |
| 1831386192 | Eastern Kentucky University | Clinic/Center | 151 N Eagle Creek, Suite 220, Lexington, KY 40509-1892 | 2007-10-01 |
| 1164614053 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 811 S Business Highway 13 Ste A, Lexington, MO 64067 | 2007-08-14 |
| 1164460051 | Eastern Kentucky University | Clinic/Center | 1306 Versailles Rd, Suite 120, Lexington, KY 40504-1117 | 2006-06-03 |
| 1053951756 | Gaston Family Health Services, Inc | Clinic/Center | 32 Kirkwood Ave, Lexington, NC 27292-4024 | 2020-01-10 |
| 1992343206 | Healthfirst Bluegrass Inc. | Clinic/Center | 350 N Limestone, Lexington, KY 40508-1871 | 2019-12-17 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.