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LAKE REGIONAL CLINIC - OSAGE BEACH
NPI 1245520691
Clinic/Center - Rural Health in Osage Beach, MO

Active since April 19, 2011CLIA 26D1094020 · Waiver
1057 MEDICAL PARK DR, SUITE A, OSAGE BEACH, MO 65065(573) 302-3100(573) 348-8279 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Regional Clinic - Osage Beach NPPES

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

LAKE REGIONAL CLINIC - OSAGE BEACH (NPI 1245520691) is a healthcare organization registered as a rural health in Osage Beach, Missouri and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Kevin Mcroberts, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245520691
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLAKE REGIONAL HEALTH SYSTEM
Location Address1057 MEDICAL PARK DR, SUITE AOsage Beach, MO 65065-3000
Mailing AddressPo Box 801661Kansas City, MO 64180-1500 · (573) 348-8000
Phone(573) 302-3100
Fax(573) 348-8279
Organization SubpartNo
Authorized OfficialKevin McrobertsCeo · (573) 348-8756
Enumeration DateApril 19, 2011
Last NPPES UpdateOctober 12, 2023
NPPES CertifiedOctober 12, 2023
✔ NPI 1245520691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1057 MEDICAL PARK DR, Osage Beach, MO 65065
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Other Names 1

Other NameLake Regional Clinic - Osage Beach

Other Identifiers 1

Medicaid1245520691MO

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 26D1094020

Lake Regional Health System - Osage Beach Clinic · Osage Beach, MO
Active · expires Apr 24, 2027
CLIA Number26D1094020
Laboratory TypeRural Health Clinic
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorJoan M. Hanff
Laboratory Phone(573) 302-3100
Laboratory LocationLake Regional Health System - Osage Beach Clinic1057 Medicalpark Drive, Osage Beach, MO 65065
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 11

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

DR. TRENT K RUSSELL M.D.
Pediatrics
1057 MEDICAL PARK DR, SUITE A
OSAGE BEACH, MO 65065
Camden County (573) 348-2745
DR. JOHN CARLYN BRAND D.O.
Family Medicine
1057 MEDICAL PARK DR
OSAGE BEACH, MO 65065
Camden County (573) 302-3100
LAKE ORTHOPEDIC GROUP, INC.
Orthopaedic Surgery
1057 MEDICAL PARK DR, SUITE C
OSAGE BEACH, MO 65065
Camden County (573) 348-4432
DR. MARK W. SHEN D.O.
Family Medicine
1057 MEDICAL PARK DR, SUITE A
OSAGE BEACH, MO 65065
Camden County (573) 348-2745
MRS. AMY R LOCKHERT M.D.
Family Medicine
1057 MEDICAL PARK DR
OSAGE BEACH, MO 65065
Camden County (573) 302-3100
DR. RANDALL C BARNES D.O.
Family Medicine
1057 MEDICAL PARK DR, SUITE A
OSAGE BEACH, MO 65065
Camden County (573) 302-3200
MRS. CATHARINE KAHRIG FNP-BC
Nurse Practitioner (Family)
1057 MEDICAL PARK DR
OSAGE BEACH, MO 65065
Camden County (573) 302-3200
MRS. KRISTEN MARIE EBLEN PHARMD
Pharmacist
1057 MEDICAL PARK DR, SUITE B
OSAGE BEACH, MO 65065
Camden County (573) 302-2700

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 Regional Health System's NPI number?

The NPI number for Lake Regional Health System is 1245520691. It was assigned to this organization in the NPPES registry on April 19, 2011. The provider is also known as Lake Regional Clinic - Osage Beach.

Where is Lake Regional Health System located?

Lake Regional Health System is located at 1057 Medical Park Dr Suite A, Osage Beach, MO 65065. The listed phone number is (573) 302-3100.

What is Lake Regional Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Lake Regional Health System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1094020) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lake Regional Health System accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Lake Regional Health System as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Regional Health System was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.