| Lake Area Industries, Inc. | |
|
1720 North Hwy 5 Camdenton MO 65020 | |
| (573) 346-7934 | |
| (573) 346-1214 |
| Full Name | Lake Area Industries, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1720 North Hwy 5, Camdenton, Missouri |
| Authorized Official Name and Position | Natalie L Couch (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5733467934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Area Industries, Inc. 1720 North Hwy 5 Camdenton MO 65020 Ph: (573) 346-7934 | Lake Area Industries, Inc. 1720 North Hwy 5 Camdenton MO 65020 Ph: (573) 346-7934 |
| NPI Number | 1255538211 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255538211 | NPI | - | NPPES |
| 251S00000X | Medicaid | MO | |
| 856025309 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 347C00000X | Private Vehicle | (* (Not Available)) | Secondary |
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