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LAKE CONVENIENCE CLINIC
NPI 1174516249
Clinic/Center in Lake Ozark, MO

Active since August 24, 2005
100 COLLEGE BLVD, LAKE OZARK, MO 65049(573) 348-1560(573) 348-5088 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lake Convenience Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE CONVENIENCE CLINIC (NPI 1174516249) is a healthcare organization registered as a clinic/center in Lake Ozark, Missouri and active in the NPI registry since August 2005. The organization lists Thomas Henry Garrett, Doctor, as its authorized official.

NPPES Registry Identity

NPI1174516249
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLAKE CONVENIENCE CLINIC
Location Address100 COLLEGE BLVDLake Ozark, MO 65049-8690
Mailing Address100 College BlvdLake Ozark, MO 65049-8690 · (573) 348-1560 · Fax (573) 348-5088
Phone(573) 348-1560
Fax(573) 348-5088
Organization SubpartNo
Authorized OfficialThomas Henry GarrettDoctor · (573) 398-1560
Enumeration DateAugust 24, 2005
Last NPPES UpdateJuly 3, 2008
✔ NPI 1174516249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

100 COLLEGE BLVD, Lake Ozark, MO 65049
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Other Identifiers 2

Medicare UPINA29423
Medicare ID-Type Unspecified1125Non Participant

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Convenience Clinic's NPI number?

The NPI number for Lake Convenience Clinic is 1174516249. It was assigned to this organization in the NPPES registry on August 24, 2005.

Where is Lake Convenience Clinic located?

Lake Convenience Clinic is located at 100 College Blvd, Lake Ozark, MO 65049. The listed phone number is (573) 348-1560.

What is Lake Convenience Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Lake Convenience Clinic was last updated on July 3, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.