RODGERS LAFAYETTE DENTAL AND HEALTH – NPI #1164614053
Clinic/Center

RODGERS LAFAYETTE DENTAL AND HEALTH is an AHC clinic located in LEXINGTON, MO. NPPES has assigned the NPI number 1164614053 to RODGERS LAFAYETTE DENTAL AND HEALTH on August 14, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RODGERS LAFAYETTE DENTAL AND HEALTH” is a dba name, the actual legal business name for this organization is SAMUEL U. RODGERS HEALTH CENTER, INC.. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 7 years ago on Jun 11, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RODGERS LAFAYETTE DENTAL AND HEALTH below.

NPI Profile for
SAMUEL U. RODGERS HEALTH CENTER, INC.

NPI Number
1164614053
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAMUEL U. RODGERS HEALTH CENTER, INC.
Doing Business As (dba): RODGERS LAFAYETTE DENTAL AND HEALTH
Other name(s)
All associated names:
Doing Business As (dba)
RODGERS LAFAYETTE DENTAL AND HEALTH
Doing Business As (dba)
Samuel U. Rodgers Health Center Lafayette Family Medicine, Dental & WIC Services
Primary location
811 S BUSINESS HIGHWAY 13 STE A
LEXINGTON, MO 64067
Phone: (660) 259-3823 Fax: (660) 259-4486
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HILDA FUENTES
CHIEF EXECUTIVE OFFICER
Phone: (816) 889-4600
Updated
Identifiers

Identifiers for RODGERS LAFAYETTE DENTAL AND HEALTH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMO500859186
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
MO

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.