LAKE REGIONAL HEALTH SYSTEM NPI 1437440856

NPI Information

  • NPI: 1437440856
  • Provider Name: LAKE REGIONAL HEALTH SYSTEM
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: LAKE REGIONAL CLINIC - CAMDENTON
  • CLIA Number: 26D0445822
  • Address: 1930 N BUSINESS ROUTE 5
    UNIT 1A
    CAMDENTON, MO
    ZIP 65020
  • Phone: (573) 346-5624

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NPI Details

LAKE REGIONAL HEALTH SYSTEM is a rural health clinic center in Camdenton, MO. LAKE REGIONAL HEALTH SYSTEM NPI is 1437440856. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Regional Clinic - Camdenton.

The provider's business location address is:

1930 N BUSINESS ROUTE 5
UNIT 1A
CAMDENTON, MO
ZIP 65020-659
Phone: (573) 346-5624
Fax: (573) 346-1957

The provider's authorized official is Kevin Mcroberts .
The authorized official title is Ceo and has the following contact phone number (573) 348-8756.

The CLIA number assigned to this NPI record is 26D0445822 - rural health clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/20/2011 and was last updated on 10/13/2023.

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
1261QR1300XClinic/CenterRural HealthYes

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
11437440856MEDICAIDMISSOURI

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: 11/21/2025

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