Organization · Type 2 NPI

Lake Regional Health System

Rural Health Clinic/Center · Iberia, MO

NPI number 1891018784 Active

Practice location

2333 Highway 17
Iberia, MO 65486-9331

Call (573) 793-6900 Map

Fax (573) 793-6688

Mailing address

PO Box 801661
Kansas City, MO 64180-1661

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

3 other providers at this address

NPI record

NPI: 1891018784
Entity type: Organization (Type 2)
Issued: Mar 5, 2010
Last updated: Oct 13, 2023
Status: Active

Other names

<unavail>
Lake Regional Clinic - Iberia · doing business as
Lake Regional Clinic - Iberia · doing business as

Authorized official

Kevin McRoberts
CEO
(573) 348-8756

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1891018784

Lake Regional Health System's National Provider Identifier is 1891018784, issued on Mar 5, 2010. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Iberia, MO. The record was last updated on Oct 13, 2023.