# LAKE REGIONAL HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386619450
- **Authorized official:** MR. KEVIN MCROBERTS (CEO)
- **Authorized official phone:** (573) 348-8756

## Contact information

- **Practice address:** 54 HOSPITAL DRIVE, OSAGE BEACH, MO 65065-3050
- **Practice address phone:** (573) 348-8000
- **Practice address fax:** (573) 348-8309
- **Mailing address:** PO BOX 801661, KANSAS CITY, MO 64180-1661
- **Mailing address phone:** (573) 348-8000
- **Mailing address fax:** (573) 302-2841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | — |
| 282NR1301X | Rural Acute Care Hospital | 291-28 | MO | Yes |

## Other

- **Enumeration date:** 02/21/2006
- **Last updated:** 10/12/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010671600 | — | MO |