Lake Regional Clinic-Eldon

LBN: Lake Regional Health System
Lake Regional Clinic-Eldon is an health care organization with primary practice located at 304A E 4Th St , Eldon MO 65026-1808. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Lake Regional Health System can be contacted via phone (573) 392-5654, or through Mcroberts, Kevin via phone (573) 348-8756.

Contact Information

Primary practice address
304A E 4Th St Eldon MO 65026-1808
Phone: (573) 392-5654
Fax: (573) 392-5692
Website:
Map and Directions
Authorized official contact:
Name: Mcroberts, Kevin
Phone: (573) 348-8756

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1053427492
LBN Legal business name Lake Regional Health System
DBA Doing business as Lake Regional Clinic-Eldon
Authorized official Mcroberts, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Oct 12th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053427492 NPPES
Missouri MEDICAID 592540009

Popular Providers