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Organization

LAKE REGIONAL HEALTH SYSTEM

Active
Other names
Lake Regional Clinic - Osage Beach
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN MCROBERTS (CEO)
(573) 348-8756
Entity
Organization

Contact information

Practice address
1057 MEDICAL PARK DR, SUITE A, OSAGE BEACH, MO 65065-3000
(573) 302-3100
(573) 348-8279
Mailing address
PO BOX 801661, KANSAS CITY, MO 64180-1500
(573) 348-8000

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1245520691
MO
Enumeration date
04/19/2011
Last updated
10/12/2023
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