LAKE REGIONAL CLINIC - LAKE OZARK
NPI 1700177128
Clinic/Center - Rural Health in Lake Ozark, MO

Active since April 20, 2011CLIA 26D0702033 · Waiver
1870 BAGNELL DAM BLVD, LAKE OZARK, MO 65049(573) 365-2318(573) 365-3009 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Regional Clinic - Lake Ozark NPPES

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

LAKE REGIONAL CLINIC - LAKE OZARK (NPI 1700177128) is a healthcare organization registered as a rural health in Lake Ozark, Missouri and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through April 8, 2028 and lists Kevin Mcroberts, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700177128
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLAKE REGIONAL HEALTH SYSTEM
Location Address1870 BAGNELL DAM BLVDLake Ozark, MO 65049-8658
Mailing AddressPo Box 801661Kansas City, MO 64180-1661 · (573) 348-8000
Fax(573) 365-3009
Organization SubpartNo
Authorized OfficialKevin McrobertsCeo · (573) 348-8756
Enumeration DateApril 20, 2011
Last NPPES UpdateOctober 13, 2023
NPPES CertifiedOctober 13, 2023
NPI 1700177128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1870 BAGNELL DAM BLVD, Lake Ozark, MO 65049

Other Names 1

Doing Business AsLake Regional Clinic - Lake Ozark

Other Identifiers 1

Medicaid1700177128MO

Accepted 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 26D0702033

Lake Regional Health System - Lake Ozark Clinic · Lake Ozark, MO
Active · expires Apr 8, 2028
CLIA Number26D0702033
Laboratory TypePhysician Office
Certificate Effective DateApril 9, 2026
Certificate Expiration DateApril 8, 2028
Laboratory DirectorJoanne B. Reed
Laboratory Phone(573) 348-2318
Laboratory LocationLake Regional Health System - Lake Ozark Clinic1870 Bagnell Dam Blvd, Lake Ozark, MO 65049
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Family)
1870 BAGNELL DAM BLVD
LAKE OZARK, MO 65049
Physical Therapist
1870 BAGNELL DAM BLVD
LAKE OZARK, MO 65049
Specialist/Technologist (Athletic Trainer)
1870 BAGNELL DAM BLVD, SUITE B
LAKE OZARK, MO 65049
Pharmacist
1870 BAGNELL DAM BLVD
LAKE OZARK, MO 65049
Psychologist
1870 BAGNELL DAM BLVD, SUITE B
LAKE OZARK, MO 65049
Family Medicine
1870 BAGNELL DAM BLVD
LAKE OZARK, MO 65049
Family Medicine
1870 BAGNELL DAM BLVD
LAKE OZARK, MO 65049
Family Medicine
1870 BAGNELL DAM BLVD
LAKE OZARK, MO 65049

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 1700177128. It was assigned to this organization in the NPPES registry on April 20, 2011. The provider is doing business as Lake Regional Clinic - Lake Ozark.

Where is Lake Regional Health System located?

Lake Regional Health System is located at 1870 Bagnell Dam Blvd, Lake Ozark, MO 65049. The listed phone number is (573) 365-2318.

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 26D0702033) is associated with this NPI, valid through April 8, 2028. 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 13, 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.