LAKE REGIONAL HEALTH SYSTEM (NPI# 1427162254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427162254 |
| Entity Type | Organization |
| Organization Name | LAKE REGIONAL HEALTH SYSTEM |
| Other Organization Name | LAKE REGIONAL CLINIC - LAURIE |
| Practice Address |
156 Missouri Boulevard Suite B Laurie MO 65038-4933 |
| Mailing Address |
Po Box 1500 Osage Beach MO 65065-1500 |
| Practice Telephone | 5733745263 |
| Practice Fax Number | 5733744933 |
| Mailing Telephone | 5733488074 |
| Mailing Fax Number | 5733488069 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2015-08-10 |
| Authorized Official Name | DAVID W. HALSELL (SR. V.P., CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5733488388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 594949901 | 05 |
| Other Name | Type Code |
|---|---|
| Lake Regional Clinic - Laurie | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346530797 | Lake Regional Health System | Clinic/Center | 14298 W Us Highway 54, Macks Creek, MO 65786-6730 | 2011-04-19 |
| 1740255520 | Lake Regional Health System | Home Health | 1193 Highway Kk, Ste C, Osage Beach, MO 65065-3344 | 2006-02-23 |
| 1548743412 | Lake Regional Health System | Clinic/Center | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2018-09-07 |
| 1417492091 | Lake Regional Health System | Hospice Care, Community Based | 1193 Highway Kk, Osage Beach, MO 65065-3344 | 2017-01-05 |
| 1962828616 | Lake Regional Health System | Family Medicine | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2014-03-05 |
| 1295151959 | Lake Regional Health System | General Acute Care Hospital | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2014-03-05 |
| 1679997407 | Lake Regional Health System | Durable Medical Equipment & Medical Supplies | 54 Hospital Dr, Suite 201, Osage Beach, MO 65065-3050 | 2014-02-14 |
| 1376883843 | Lake Regional Health System | Durable Medical Equipment & Medical Supplies | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2013-02-21 |
| 1700177128 | Lake Regional Health System | Clinic/Center | 1870 Bagnell Dam Blvd, Lake Ozark, MO 65049-8658 | 2011-04-20 |
| 1437440856 | Lake Regional Health System | Clinic/Center | 1930 N Business Route 5, Unit 1a, Camdenton, MO 65020-2659 | 2011-04-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAKE REGIONAL HEALTH SYSTEM | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Oklahoma Business Registrations | LAKE REGIONAL HEALTH SYSTEM | 54 Hospital Dr, Osage Beach, MO 65065 |
| Street Address |
156 MISSOURI BOULEVARD SUITE B |
| City | LAURIE |
| State | MO |
| Zip Code | 65038-4933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376050849 | Michele Lynne Clary | Counselor | 162 Missouri Boulevard, Suite C, Laurie, MO 65038 | 2018-01-05 |
| 1194170795 | Unlimited Endeavors LLC | Pharmacy | 154 South Main, Laurie, MO 65038 | 2016-05-02 |
| 1730581927 | Angela Torres | Physical Therapist | 126 South Main St, Laurie, MO 65038 | 2014-09-19 |
| 1922282995 | John D Wildgen | Dentist | 128 South Main Street, Laurie, MO 65038 | 2007-12-26 |
| 1750453296 | Lake Regional Medical Management, Inc | Pharmacy | 156 -d Missouri Blvd, Laurie, MO 65038 | 2006-11-13 |
| 1841299740 | David Gerard Mook | Internal Medicine | 156 Missouri Blvd, Suite B, Laurie, MO 65038 | 2005-07-21 |
| 1255969440 | Healing Connections Counseling Center, LLC | Clinic/Center | 162 Missouri Boulevard, Suite C, Laurie, MO 65038 | 2020-04-01 |
| 1457863219 | Jennifer Gunther | Speech-Language Pathologist | 610 Hwy O, Laurie, MO 65038 | 2017-11-01 |
| 1063689685 | Ragain Chiropractic Clinic PC | Chiropractor | 409 North Main, Laurie, MO 65038 | 2008-05-13 |
| 1275670366 | Laurie Knolls | Assisted Living Facility | 610 Hwy O, Laurie, MO 65038 | 2007-01-30 |
| Find all providers in zip 65038 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LAKE REGIONAL HEALTH SYSTEM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.