LAKE REGIONAL EXPRESS CARE-CAMDENTON - NPI 1184393092

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

On this page

About Lake Regional Express Care-camdenton NPPES

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

LAKE REGIONAL EXPRESS CARE-CAMDENTON (NPI 1184393092) is a healthcare organization registered as a rural health in Camdenton, Missouri and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through August 23, 2026 and lists Kevin Mcroberts, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184393092

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameLAKE REGIONAL HEALTH SYSTEM

Location Address226 E US HIGHWAY 54Camdenton, MO 65020-6819

Mailing AddressPo Box 801661Kansas City, MO 64180-3050 · (573) 348-8399

Phone(573) 873-2521

Fax(573) 346-0053

Organization SubpartNo

Authorized OfficialKevin McrobertsCeo · (573) 348-8756

Enumeration DateSeptember 13, 2021

Last NPPES UpdateOctober 12, 20232 updates tracked since enumeration

NPPES CertifiedOctober 12, 2023

✔ NPI 1184393092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

226 E US HIGHWAY 54, Camdenton, MO 65020

Open in Google Maps ↗

Other Names 1

Doing Business AsLake Regional Express Care-camdenton

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2191172

Lake Regional Express Care - Camdenton · Camdenton, MO

Active · expires Aug 23, 2026

CLIA Number26D2191172

Laboratory TypeExpress Care

Certificate Effective DateAugust 24, 2024

Certificate Expiration DateAugust 23, 2026

Laboratory DirectorMichael Durham

Laboratory Phone(573) 873-2521

Laboratory LocationLake Regional Express Care - Camdenton226 E Highway 54, Camdenton, MO 65020

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE ORTHOPEDICS AND SPORTS MEDICINE INC

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)