SKY LAKES MEDICAL CENTER INC (NPI# 1700087426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700087426 |
| Entity Type | Organization |
| Organization Name | SKY LAKES MEDICAL CENTER INC |
| Practice Address |
2865 Daggett Ave Klamath Falls OR 97601-1106 |
| Practice Telephone | 5412746221 |
| Practice Fax Number | 5412746247 |
| Mailing Telephone | 5412746221 |
| Mailing Fax Number | 5412746247 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2009-11-10 |
| 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 |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
OR | Suppliers | |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | OR | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568417103 | Sky Lakes Medical Center Inc | Home Health | 2605 Crosby Ave, Klamath Falls, OR 97603-5726 | 2006-05-23 |
| 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 |
| Street Address |
2865 DAGGETT AVE |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97601-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982698221 | Slavka Kucinska | Internal Medicine | 2865 Daggett Ave, Klamath Falls, OR 97601 | 2005-09-01 |
| 1053928580 | Andie Leeann Scherer | Dietitian, Registered | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2020-09-29 |
| 1285241844 | Paolina Mulleneix | Dietitian, Registered | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2020-09-28 |
| 1073138814 | Merri Barber | Registered Nurse | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2020-06-08 |
| 1962038620 | Michelle Eileen Staunton | Pharmacist | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2020-03-13 |
| 1093355166 | Rachael Mudd | Physician Assistant | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2020-01-07 |
| 1235771874 | Derek Anthony Harpole | Nurse Practitioner | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2019-10-15 |
| 1538712286 | Alexander Edward Beaty | Pharmacist | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2019-07-22 |
| 1255992137 | David Rosser | Pharmacist | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2019-06-22 |
| 1518439470 | Justin Lee Thomas | Physical Therapist | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2018-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487311 | Socorro Guadalupe Alcala- Peres | Case Manager/Care Coordinator | 2210 N El Dorado Ave, Klamath Falls, OR 97601 | 2019-09-20 |
| 1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
| 1134699721 | Kristin Asta Ragnarsson | Speech-Language Pathologist | Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 | 2018-11-27 |
| 1730667445 | Nancy Leota Baley | Pharmacist | Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 | 2018-08-03 |
| 1336511260 | Patricia Blauvelt | Occupational Therapy Assistant | 1401 Bryant Williams Dr, Klamath Falls, OR 97601 | 2015-10-30 |
| 1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
| 1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
| 1255692687 | Billy Dean Vermaas | Physical Medicine & Rehabilitation | 204 N. 10th Street, Klamath Falls, OR 97601 | 2012-06-01 |
| 1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
| 1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
| Find all providers in zip 97601 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770712093 | Lucas & Howard Furniture, Inc. | Durable Medical Equipment & Medical Supplies | 3226 S 6th St, Klamath Falls, OR 97603-4614 | 2009-07-08 |
| 1669581955 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 2521 South Sixth Street, Klamath Falls, OR 97601-4343 | 2006-08-30 |
| 1285667543 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 1920 Washburn Way, Klamath Falls, OR 97603-4502 | 2006-07-09 |
| 1629007448 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 2795 Anderson Ave, Suite 107, Klamath Falls, OR 97603-7898 | 2006-07-02 |
| 1710933718 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 5500 S 6th St, Klamath Falls, OR 97603-5104 | 2006-05-25 |
| 1205019890 | Gary Voight, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Pine St, Klamath Falls, OR 97601-5899 | 2007-12-06 |
| 1518172444 | Mountain View Physical Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 2301 Mountain View Blvd, Suite C, Klamath Falls, OR 97601-1137 | 2007-05-14 |
| 1598827487 | Gary Voight, Inc. | Durable Medical Equipment & Medical Supplies | 2615 Almond St, Klamath Falls, OR 97601-1176 | 2006-12-15 |
| 1154432037 | Hanger Prosthetics & Orthotics | Durable Medical Equipment & Medical Supplies | 2603 Crosby Ave, Suite B, Klamath Falls, OR 97603-5776 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959272 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 281 Laclair St Rm 135, Coos Bay, OR 97420-2988 | 2020-10-14 |
| 1730794181 | Wound Pros Oregon | Durable Medical Equipment & Medical Supplies | 10260 Sw Greenburg Road 4th Floor, Portland, OR 97223-5500 | 2020-09-12 |
| 1881209385 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12555 Nw Cornell Rd, Portland, OR 97229-5683 | 2020-09-11 |
| 1902423676 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 Se Court Pl Ste P, Pendleton, OR 97801-3281 | 2020-06-29 |
| 1851914618 | Bellevue Healthcare II Inc | Durable Medical Equipment & Medical Supplies | 61580 American Ln, Bend, OR 97702-9792 | 2020-05-27 |
| 1538799333 | Big Creek Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1664 N Coast Hwy, Newport, OR 97365 | 2020-01-21 |
| 1184260325 | Pacific O&p LLC | Durable Medical Equipment & Medical Supplies | 1050 Sw 6th Ave Ste 1100, Portland, OR 97204-1153 | 2019-11-22 |
| 1790335073 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 621 W Madrone St Ste P1, Roseburg, OR 97470-3090 | 2019-09-18 |
| 1386294379 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8145 Se 17th Ave, Portland, OR 97202-6718 | 2019-09-12 |
| 1346899721 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 345 Sw Harrison St, Portland, OR 97201-5364 | 2019-09-09 |
| Find all providers with the same taxonomy | ||||
| City | KLAMATH FALLS |
| Zip Code | 97601 |
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| 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.