Organization
LAKELAND HOSPITAL ACQUISITION, LLC
Active
Other names
Lakeland Behavioral Health System
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN P. FARLEY (VICE PRESIDENT & SECRETARY)
(615) 861-6000
Entity
Organization
Contact information
Practice address
440 SOUTH MARKET AVE, SPRINGFIELD, MO 65806-2026
(417) 865-5581
(417) 865-5964
Mailing address
4020 ASPEN GROVE DR STE 900, FRANKLIN, TN 37067-3134
(615) 861-6000
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
432-14
MO
323P00000X
Psychiatric Residential Treatment Facility
000754769
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011287901
—
MO
01
—
107192
BC PROVIDER NUMBER
MO
05
—
118836125
—
AR
05
—
200371220A
—
KS
Enumeration date
11/01/2006
Last updated
12/30/2025
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