| The Lake's Liver And Digestive Health Center Inc | |
|
1029 Nichols Rd Ste 201 Osage Beach MO 65065-3008 | |
| (573) 302-7138 | |
| (573) 302-4686 |
| Full Name | The Lake's Liver And Digestive Health Center Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1029 Nichols Rd Ste 201, Osage Beach, Missouri |
| Authorized Official Name and Position | Kevin Gerard Byrne (PRESIDENT) |
| Authorized Official Contact | 5733027138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lake's Liver And Digestive Health Center Inc 1029 Nichols Rd Ste 201 Osage Beach MO 65065-3008 Ph: (573) 302-7138 | The Lake's Liver And Digestive Health Center Inc 1029 Nichols Rd Ste 201 Osage Beach MO 65065-3008 Ph: (573) 302-7138 |
| NPI Number | 1124246160 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 10/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124246160 | NPI | - | NPPES |
| 507523900 | Medicaid | MO | |
| DG1541 | Other | MO | RR MEDICARE |
| 16408 | Other | MO | ANTHEM BCBS PROVIDER ID |
| 277180 | Other | MO | HEALTHLINK PROIVDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | DO107693 (Missouri) | Primary |
Osage Family Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1191 Highway Kk, Suite 202, Osage Beach, MO 65065 Phone: 573-302-0670 Fax: 573-302-0677 | |
Lake Regional Clinic - Osage Beach Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1057 Medical Park Dr, Suite A, Osage Beach, MO 65065 Phone: 573-302-3100 Fax: 573-348-8279 | |
Lake Regional Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-348-8000 | |
Lake Regional Obstetrics & Gynecology Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 54 Hospital Dr Ste 201, Osage Beach, MO 65065 Phone: 573-302-2764 Fax: 573-302-2767 | |
Jcmg At The Lake Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5816 Osage Beach Pkwy Ste 105, Osage Beach, MO 65065 Phone: 573-348-3001 Fax: 573-348-5998 | |
Lake Regional Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-348-8074 Fax: 573-348-8069 |