| Lake Regional Express Care-camdenton | |
|
226 E Us Highway 54 Camdenton MO 65020-6819 | |
| (573) 873-2521 | |
| (573) 346-0053 |
| Full Name | Lake Regional Express Care-camdenton |
|---|---|
| Speciality | Clinic/Center |
| Location | 226 E Us Highway 54, Camdenton, 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 Express Care-camdenton Po Box 801661 Kansas City MO 64180-3050 Ph: (573) 348-8399 | Lake Regional Express Care-camdenton 226 E Us Highway 54 Camdenton MO 65020-6819 Ph: (573) 873-2521 |
| NPI Number | 1184393092 |
|---|---|
| Provider Enumeration Date | 09/13/2021 |
| Last Update Date | 10/12/2023 |
| Medicare PECOS PAC ID | 9133026776 |
|---|---|
| Medicare Enrollment ID | O20210924000170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184393092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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