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Lake Regional Health System

Rural Health Clinic/Center in Lebanon, MO · enumerated 2021 · authorized official Kevin Mcroberts, Ceo.

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

National Provider Identifier

1386311223

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Regional Health System
Other name <Unavail>
Practice address 755 Cowan Drive, Lebanon, MO, 65536
Phone (417) 532-2805
Fax (417) 532-2848
Enumeration date Aug 27, 2021
Last updated in NPPES Oct 12, 2023

Taxonomy & classification

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Kevin Mcroberts
Title Ceo
Phone (573) 348-8388

Other identifiers

Identifier Type State Issuer
590107490 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 type of organization is Lake Regional Health System?
Lake Regional Health System is registered in NPPES as a Rural Health Clinic/Center (its primary provider taxonomy).
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.

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