LAKELAND HOSPITAL ACQUISITION LLC NPI 1225174311

NPI Information

NPI: 1225174311
Provider Name: LAKELAND HOSPITAL ACQUISITION, LLC

Doing Business As: LAKELAND BEHAVIORAL HEALTH SYSTEM

Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
440 S MARKET AVE
SPRINGFIELD, MO
ZIP 65806
Phone: (417) 865-0566
Get Directions

LAKELAND HOSPITAL ACQUISITION, LLC is a child and adolescent psychiatry psychiatry neurology in Springfield, MO. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. LAKELAND HOSPITAL ACQUISITION, LLC NPI is 1225174311. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Lakeland Behavioral Health System.

The provider's business location address is:

440 S MARKET AVE
SPRINGFIELD, MO
ZIP 65806-026
Phone: (417) 865-0566
Fax: (417) 865-0566

The provider's authorized official is Brian P. Farley .
The authorized official title is Vp And Secretary and has the following contact phone number (615) 861-6000.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 8/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083P0901X	Preventive Medicine	Public Health & General Preventive Medicine	R7E05	MISSOURI	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	101693	MISSOURI	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	101693	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	541287900	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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