Lake Regional Health System
NPI 1053581454ActiveOrganization· Emergency Medicine, Emergency Medical Services· Osage Beach, MO
Emergency Medicine, Emergency Medical Services in Osage Beach, Missouri, registered in NPPES in March 2008. The authorized official on file is Kevin McRoberts, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053581454 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 3, 2008 |
| Last updated in NPPES | Oct 12, 2023 |
| Certified by provider | Oct 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine, Emergency Medical Services Primary | 207PE0004X | 291-30 | MO |
| Dietitian, Registered | 133V00000X | 291-30 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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