# LAKE REGIONAL HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Regional Clinic - Iberia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891018784
- **Authorized official:** KEVIN MCROBERTS (CEO)
- **Authorized official phone:** (573) 348-8756

## Contact information

- **Practice address:** 2333 HIGHWAY 17, IBERIA, MO 65486-9331
- **Practice address phone:** (573) 793-6900
- **Practice address fax:** (573) 793-6688
- **Mailing address:** PO BOX 801661, KANSAS CITY, MO 64180-1661
- **Mailing address phone:** (573) 348-8000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/05/2010
- **Last updated:** 10/13/2023