Lake Regional Health System
Lake Regional Health System is a healthcare organization registered as Rural Health Clinic/Center in Eldon, MO, holding Type 2 (organization) NPI 1053427492 since 2006. The authorized official on file is Kevin Mcroberts, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053427492 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lake Regional Health System |
| Other name | <Unavail> |
| Practice address | 304A E 4TH ST, Eldon, MO, 65026 |
| Phone | 5733925654 |
| Fax | 5733925692 |
| Enumeration date | 2006-08-21 |
| Last updated in NPPES | 2023-10-12 |
Authorized official
| Name | Kevin Mcroberts |
|---|---|
| Title | Ceo |
| Phone | 5733488756 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR1300X | Rural Health Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 592540009 | Medicaid | MO | — |
Copy-ready billing details
Provider: Lake Regional Health System NPI: 1053427492 Taxonomy: 261QR1300X (Rural Health Clinic/Center) Address: 304A E 4TH ST, Eldon, MO, 65026
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1205835303 | Paul Bernabe | Individual | Family Medicine Physician | Eldon, MO |
| 1548205966 | Laura Thompson | Individual | Family Nurse Practitioner | Eldon, MO |
| 1194758011 | Christine Livek | Individual | Family Medicine Physician | Eldon, MO |
| 1104096429 | Henry Bluhm | Individual | Medical Physician Assistant | Eldon, MO |
| 1538499454 | Jeanette Dilan-Koetje | Individual | Internal Medicine Physician | Eldon, MO |
| 1609170018 | Mauricio Pasquale | Individual | Physician Assistant | Eldon, MO |
| 1982943502 | Joseph Meystrik | Individual | Family Nurse Practitioner | Eldon, MO |
| 1639584139 | Rene Revelle | Individual | Family Nurse Practitioner | Eldon, MO |
Verify this record
Cross-check NPI 1053427492 against the authoritative CMS record: view Lake Regional Health System on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Lake Regional Health System?
Who is the authorized official for Lake Regional Health System?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-10-12.