| Rodgers Lafayette Dental And Health | |
|
811 S Business Highway 13 Ste A Lexington MO 64067 | |
| (660) 259-3823 | |
| (660) 259-4486 |
| Full Name | Rodgers Lafayette Dental And Health |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 811 S Business Highway 13 Ste A, 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 |
|---|---|
| Rodgers Lafayette Dental And Health 811 S Business Highway 13 Ste A Lexington MO 64067-1572 Ph: (660) 259-3823 | Rodgers Lafayette Dental And Health 811 S Business Highway 13 Ste A Lexington MO 64067 Ph: (660) 259-3823 |
| NPI Number | 1164614053 |
|---|---|
| Provider Enumeration Date | 08/14/2007 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164614053 | NPI | - | NPPES |
| 500859186 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Missouri) | Primary |
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