Organization
LAKE REGIONAL HEALTH SYSTEM
Active
Other names
Lake Regional Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MCROBERTS (CEO)
(573) 348-8756
Entity
Organization
Contact information
Practice address
1029 NICHOLS RD STE A, OSAGE BEACH, MO 65065-3702
(573) 302-2860
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-2860
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
315D00000X
Inpatient Hospice
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
820052478
—
MO
Enumeration date
01/05/2017
Last updated
10/12/2023
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