SKY LAKES MEDICAL CENTER INC (NPI# 1568417103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568417103 |
| Entity Type | Organization |
| Organization Name | SKY LAKES MEDICAL CENTER INC |
| Practice Address |
2605 Crosby Ave Klamath Falls OR 97603-5726 |
| Practice Telephone | 5412746293 |
| Practice Fax Number | 5412746294 |
| Mailing Telephone | 5412746293 |
| Mailing Fax Number | 5412746294 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2010-06-30 |
| Authorized Official Name | MR. RICHARD E RICO (VP) |
| Authorized Official Telephone | 5412746150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 13 140724 | OR | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 044883 | 05 | |
| OR | BCBS REGENCE | 138005000 | 01 |
| CA | XHHA10140 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386698207 | Sky Lakes Medical Center Inc | Clinic/Center | 2230 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2006-05-22 |
| 1962000661 | Sky Lakes Medical Center Inc | Clinic/Center | 128 S 11th St, Klamath Falls, OR 97601-5806 | 2020-10-14 |
| 1841704459 | Sky Lakes Medical Center Inc | Pharmacy | 211 N 8th St, Klamath Falls, OR 97601-6018 | 2017-11-20 |
| 1912311986 | Sky Lakes Medical Center Inc | Pharmacy | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2014-06-17 |
| 1629310404 | Sky Lakes Medical Center Inc | General Acute Care Hospital | 1905 Main St, Klamath Falls, OR 97601-2638 | 2013-03-20 |
| 1386931723 | Sky Lakes Medical Center Inc | General Practice | 2200 Bryant Williams Dr, Klamath Falls, OR 97601-1120 | 2011-07-06 |
| 1811284268 | Sky Lakes Medical Center Inc | General Practice | 2617 Almond St, Klamath Falls, OR 97601-1116 | 2011-07-06 |
| 1255628673 | Sky Lakes Medical Center Inc | General Practice | 3000 Bryant Williams Dr, Klamath Falls, OR 97601-1139 | 2011-07-06 |
| 1649446691 | Sky Lakes Medical Center Inc | General Practice | 2801 Daggett Ave, Klamath Falls, OR 97601-1106 | 2008-04-30 |
| 1700087426 | Sky Lakes Medical Center Inc | Durable Medical Equipment & Medical Supplies | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2007-05-30 |
| Street Address |
2605 CROSBY AVE |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97603-5726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295085991 | Nightingale Home Healthcare of Oregon, Inc. | Home Health | 2605 Crosby Ave, Klamath Falls, OR 97603-5726 | 2012-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790323699 | Mike Hampson | Counselor | 3203 Vandenberg Road, Klamath Falls, OR 97603 | 2019-12-11 |
| 1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
| 1720518392 | Maile Kalus | Counselor | 3647 Or-39, Klamath Falls, OR 97603 | 2017-06-15 |
| 1174067201 | Amber Wu | Audiologist | 4036 S 6th St Ste 3, Klamath Falls, OR 97603 | 2016-12-08 |
| 1568870681 | Nathan William Bailey | Dentist | 2301 Mountain View Blvd, Suite D, Klamath Falls, OR 97603 | 2014-08-01 |
| 1376987784 | Janice Marie Heiney | Denturist | 2607 Crosby Ave, Klamath Falls, OR 97603 | 2013-04-29 |
| 1083958011 | John W Cooper | Denturist | 3949 Shasta Way, Klamath Falls, OR 97603 | 2012-11-15 |
| 1205137742 | Robert Knight | Community Health Worker | 3314 Vandenburg Rd., Klamath Falls, OR 97603 | 2010-11-16 |
| 1841526431 | Tim R Jones | Counselor | 3949 South 6th St, Klamath Falls, OR 97603 | 2009-11-02 |
| 1316135833 | Ernest Thompson O'neal | Emergency Medicine | 211 Arnold Ave. Ste 15, Klamath Falls, OR 97603 | 2007-10-10 |
| Find all providers in zip 97603 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548775315 | Maelee Rose Ruhl | Home Health | 135 Old Fort Rd, Klamath Falls, OR 97601-9438 | 2017-12-02 |
| 1487682191 | Assured Quality Home Care Inc | Home Health | 2045 Arthur St, Klamath Falls, OR 97603-4675 | 2006-06-29 |
| 1295085991 | Nightingale Home Healthcare of Oregon, Inc. | Home Health | 2605 Crosby Ave, Klamath Falls, OR 97603-5726 | 2012-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215548508 | Helen Lacsina Greer | Home Health | 248 Elma Ave Se, Salem, OR 97317-5464 | 2020-08-11 |
| 1760092167 | Charlotte Kreftmeyer | Home Health | 661 Skyhawk Dr, Ontario, OR 97914-3143 | 2020-07-31 |
| 1275156929 | Amy Marie Mathis | Home Health | 1787 Easy St, Medford, OR 97504-5325 | 2020-05-28 |
| 1841810256 | Destiny Robin Thomas | Home Health | 2544 Ne Clackamas St, Portland, OR 97232-1727 | 2020-04-26 |
| 1912533506 | Lucas Home Care, LLC | Home Health | 230 Se 3rd St # 100, Bend, OR 97702-9949 | 2020-03-16 |
| 1700421682 | Janelle S Foote | Home Health | 36540 Highway 140, Beatty, OR 97621-9706 | 2019-11-14 |
| 1972154441 | For The People LLC | Home Health | 10700 Sw Beaverton Hillsdale Hwy Ste 4709, Beaverton, OR 97005-3019 | 2019-09-25 |
| 1093363426 | Apex Health and Wellness | Home Health | 436 N Laurel St, Ashland, OR 97520-1113 | 2019-08-28 |
| 1962056341 | Cascade Specialized Nursing, LLC. | Home Health | 20831 Se Firwood Rd, Sandy, OR 97055-9487 | 2019-07-24 |
| 1528620887 | Chareese R Borland | Home Health | 2240 Nolan Ln, West Linn, OR 97068-4243 | 2019-07-07 |
| Find all providers with the same taxonomy | ||||
| City | KLAMATH FALLS |
| Zip Code | 97603 |
Please comment or provide details below to improve the information on SKY LAKES MEDICAL CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.