Organization
LAKE REGIONAL HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN MCROBERTS (CEO)
(573) 348-8756
Entity
Organization
Contact information
Practice address
54 HOSPITAL DRIVE, OSAGE BEACH, MO 65065-3050
(573) 348-8000
(573) 348-8309
Mailing address
PO BOX 801661, KANSAS CITY, MO 64180-1661
(573) 348-8000
(573) 302-2841
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
—
—
282NR1301X
Rural Acute Care Hospital
Primary
291-28
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010671600
—
MO
Enumeration date
02/21/2006
Last updated
10/12/2023
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