Organization
LAKE REGIONAL HEALTH SYSTEM
Active
Other names
Lake Regional Clinic - Iberia
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MCROBERTS (CEO)
(573) 348-8756
Entity
Organization
Contact information
Practice address
2333 HIGHWAY 17, IBERIA, MO 65486-9331
(573) 793-6900
(573) 793-6688
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
—
1891018784
—
MO
Enumeration date
03/05/2010
Last updated
10/13/2023
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