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Lake Regional Health System

Emergency Medical Services (Emergency Medicine) Physician in Osage Beach, MO · enumerated 2008 · authorized official Kevin Mcroberts, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053581454

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Regional Health System
Practice address 54 Hospital Dr, Osage Beach, MO, 65065
Fax (573) 348-8069
Enumeration date Mar 3, 2008
Last updated in NPPES Oct 12, 2023

Taxonomy & classification

133V00000X Registered Dietitian Dietary & Nutritional Service Providers · License 291-30 (MO) Secondary
207PE0004X Emergency Medical Services (Emergency Medicine) Physician Allopathic & Osteopathic Physicians · License 291-30 (MO) Primary

Authorized official

Name Kevin Mcroberts
Title Ceo

Other identifiers

Identifier Type State Issuer
540671609 Medicaid MO -

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.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Lake Regional Health System?
Lake Regional Health System is registered in NPPES as a Emergency Medical Services (Emergency Medicine) Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-12.