LAKE REGIONAL HEALTH SYSTEM (NPI# 1548743412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548743412 |
| Entity Type | Organization |
| Organization Name | LAKE REGIONAL HEALTH SYSTEM |
| Other Organization Name | LAKE REGIONAL MULTI-SERVICES CLINIC |
| Practice Address |
54 Hospital Dr Osage Beach MO 65065-3050 |
| Practice Telephone | 5733488256 |
| Practice Fax Number | 5733488282 |
| Mailing Telephone | 5733488399 |
| Mailing Fax Number | 5733488309 |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |
| Authorized Official Name | JESSICA HASTY (MANAGED CARE COORDINATOR) |
| Authorized Official Telephone | 5733488399 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lake Regional Multi-Services Clinic | 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 |
| 1427162254 | Lake Regional Health System | Clinic/Center | 156 Missouri Boulevard, Suite B, Laurie, MO 65038-4933 | 2006-08-18 |
| 1740255520 | Lake Regional Health System | Home Health | 1193 Highway Kk, Ste C, Osage Beach, MO 65065-3344 | 2006-02-23 |
| 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 |
| Street Address |
54 HOSPITAL DR |
| City | OSAGE BEACH |
| State | MO |
| Zip Code | 65065-3050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730184151 | Timothy D. Lischwe | Optometrist | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2005-06-14 |
| 1669070298 | Kimberly Jean Farris | Nurse Practitioner | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2020-10-15 |
| 1437756608 | Barry Keith Hale | Physical Therapy Assistant | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2020-10-01 |
| 1427664614 | Samantha J Emry | Nurse Practitioner | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2020-09-22 |
| 1326665688 | Alyssa Heinsohn | Physical Therapist | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2020-07-02 |
| 1255958138 | Gina Marie Fasano | Orthopaedic Surgery | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2020-06-26 |
| 1083230718 | Clarice Rose Schmid | Occupational Therapy Assistant | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2020-06-18 |
| 1093338857 | James Daniel Calkins | Physical Therapy Assistant | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2020-05-27 |
| 1205476934 | Krystin Nicole Hall | Speech-Language Pathologist | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2020-01-10 |
| 1144868209 | Kristen Kay Lee | Speech-Language Pathologist | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2019-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437778859 | Suzanne Marie Harris | Social Worker | 1191 State Highway Kk, Suite 101, Osage Beach, MO 65065 | 2020-04-15 |
| 1982172342 | Arrowhead Retirement Operations LLC | Skilled Nursing Facility | 6100 Arrowhead Drive, Osage Beach, MO 65065 | 2018-11-05 |
| 1245723337 | William T Mcfail | Counselor | 1191 State Hwy Kk, Suite 101, Osage Beach, MO 65065 | 2018-06-13 |
| 1588102263 | Jennifer Kiske | Physical Therapist | 5780 Osage Beach Parkway, Ste 220, Osage Beach, MO 65065 | 2017-02-02 |
| 1700207586 | Brenda Renee Spies | Pharmacist | 4252 Osage Beach Parkway, Osage Beach, MO 65065 | 2013-12-23 |
| 1154668465 | Paige Hedgpath Od, PC | Optometrist | 4645g Osage Beach Parkway, Osage Beach, MO 65065 | 2013-01-07 |
| 1649548330 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 300 Kestrel Lane, Lake Ozark, MO 65065 | 2011-12-08 |
| 1437399821 | Melissa Nicole Morgan | Physical Therapy Assistant | 5177 Vicus Castri, Osage Beach, MO 65065 | 2009-02-25 |
| 1730330911 | Raymond Don Baker | Preventive Medicine | 5476 Stone Ledge Cir, Osage Beach, MO 65065 | 2008-10-06 |
| 1457514259 | Lake Family Dentistry | Dentist | 1037 Palisades Blvd Ste 9, Osage Beach, MO 65065 | 2008-07-02 |
| Find all providers in zip 65065 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851853782 | New Spring Wellness Center LLC | Clinic/Center | 5525 Osage Beach Pkwy, Osage Beach, MO 65065-3023 | 2019-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962795799 | Homechoice Partners, Inc | Clinic/Center | 528 Trade Center Blvd, Chesterfield, MO 63005-1253 | 2011-05-26 |
| 1700018488 | Accurate Rx Pharmacy Consulting, LLC | Clinic/Center | 103 Corporate Lake Dr, Suite B, Columbia, MO 65203-7290 | 2009-08-14 |
| 1528297975 | Coram Alternate Site Services, Inc. | Clinic/Center | 13205 Lakefront Dr, Earth City, MO 63045-1503 | 2009-07-07 |
| 1023191186 | Option Care Enterprises, Inc. | Clinic/Center | 1410 Heriford Rd, Columbia, MO 65202-1907 | 2006-10-23 |
| 1144250325 | Option Care Enterprises, Inc. | Clinic/Center | 535 Axminister Dr, Fenton, MO 63026-2903 | 2006-07-04 |
| 1518418516 | Ahcmo 1 LLC | Clinic/Center | 1585 Woodlake Dr, 104, Chesterfield, MO 63017-5740 | 2016-10-14 |
| 1275926198 | St. Luke's Hospital of Kansas City | Clinic/Center | 2529 Glenn Hendren Dr, Suite G30, Liberty, MO 64068-9607 | 2015-03-17 |
| 1356603716 | Midwest Infusion Services, LLC | Clinic/Center | 1730 E Republic Rd, Suite K, Springfield, MO 65804-6549 | 2012-06-12 |
| 1477618486 | Jefferson City Medical Group, P.C. | Clinic/Center | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2006-12-27 |
| City | OSAGE BEACH |
| Zip Code | 65065 |
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.