Lake Regional Clinic-Lebanon

LBN: Lake Regional Health System
Lake Regional Clinic-Lebanon is an health care organization with primary practice located at 755 Cowan Drive , Lebanon MO 65536. 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 (417) 532-2805, or through Mcroberts, Kevin via phone (573) 348-8388.

Contact Information

Primary practice address
755 Cowan Drive Lebanon MO 65536
Phone: (417) 532-2805
Fax: (417) 532-2848
Website:
Map and Directions
Authorized official contact:
Name: Mcroberts, Kevin
Phone: (573) 348-8388

Health care specialties

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

Profile Details

NPI number 1386311223
LBN Legal business name Lake Regional Health System
DBA Doing business as Lake Regional Clinic-Lebanon
Authorized official Mcroberts, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2021
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386311223 NPPES
Missouri MEDICAID 590107490

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