| Lake Regional Health System | |
|
304a E 4th St Eldon MO 65026-1808 | |
| (573) 392-5654 | |
| (573) 392-5692 |
| Full Name | Lake Regional Health System |
|---|---|
| Speciality | Clinic/Center |
| Location | 304a E 4th St, Eldon, Missouri |
| Authorized Official Name and Position | Kevin Mcroberts (CEO) |
| Authorized Official Contact | 5733488756 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Regional Health System Po Box 801661 Kansas City MO 64180-1500 Ph: (573) 348-8000 | Lake Regional Health System 304a E 4th St Eldon MO 65026-1808 Ph: (573) 392-5654 |
| NPI Number | 1053427492 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 10/12/2023 |
| Medicare PECOS PAC ID | 9133026776 |
|---|---|
| Medicare Enrollment ID | O20140501000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053427492 | NPI | - | NPPES |
| 592540009 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Malcolm J. Dickerson, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 W 4th St, Eldon, MO 65026 Phone: 573-392-9200 Fax: 573-392-4626 | |
Eldon Family Chiropractic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 N Business Highway 54 E Ste D, Eldon, MO 65026 Phone: 573-286-2638 | |
Richland Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 S Pine St, Eldon, MO 65026 Phone: 573-765-5131 Fax: 573-765-3122 | |
Ssm Regional Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1112 E North St, Eldon, MO 65026 Phone: 573-392-3767 Fax: 573-392-1976 |