Organization
LAKE REGIONAL HEALTH SYSTEM
Active
Other names
Lake Regional Clinic - Camdenton
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MCROBERTS (CEO)
(573) 348-8756
Entity
Organization
Contact information
Practice address
1930 N BUSINESS ROUTE 5, UNIT 1A, CAMDENTON, MO 65020-2659
(573) 346-5624
(573) 346-1957
Mailing address
PO BOX 801661, KANSAS CITY, MO 64180-1661
(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
—
1437440856
—
MO
Enumeration date
04/20/2011
Last updated
10/13/2023
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