SKY LAKES MEDICAL CENTER INC (NPI# 1255628673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255628673 |
| Entity Type | Organization |
| Organization Name | SKY LAKES MEDICAL CENTER INC |
| Practice Address |
3000 Bryant Williams Dr Klamath Falls OR 97601-1139 |
| Mailing Address |
2865 Daggett Ave Klamath Falls OR 97601-1106 |
| Practice Telephone | 5412746221 |
| Practice Fax Number | 5412746247 |
| Mailing Telephone | 5412746621 |
| Mailing Fax Number | 5412746247 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-09-29 |
| 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 | 208D00000X | General Practice | 14-0724-3 | OR | Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
3000 BRYANT WILLIAMS DR |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97601-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962608067 | Jared Ogao | Surgery | 3000 Bryant Williams Dr, Suite 110, Klamath Falls, OR 97601-1139 | 2007-06-25 |
| 1144500760 | Shelly Lyn Thorpe | Nurse Practitioner | 3000 Bryant Williams Dr, Suite 120, Klamath Falls, OR 97601-1139 | 2011-08-26 |
| 1558516005 | Cory T Johnson Md PC | Obstetrics & Gynecology | 3000 Bryant Williams Dr, Suite 100, Klamath Falls, OR 97601-1139 | 2008-11-25 |
| 1669658878 | Douglas H. Todd, M.d., P.C. | Otolaryngology | 3000 Bryant Williams Dr, Suite 200, Klamath Falls, OR 97601-1139 | 2008-01-17 |
| 1518142967 | Stanton T Smith | Surgery | 3000 Bryant Williams Dr, Klamath Falls, OR 97601-1139 | 2008-01-04 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598022832 | University Professional Services | General Practice | 2858 Eberlein Ave, Klamath Falls, OR 97603-4402 | 2012-04-11 |
| 1316204662 | University Professional Services | General Practice | 2858 Eberlein Ave, Klamath Falls, OR 97603-4402 | 2012-04-11 |
| 1386931723 | Sky Lakes Medical Center Inc | General Practice | 2200 Bryant Williams Dr, Klamath Falls, OR 97601-1120 | 2011-07-06 |
| 1902193352 | Sky Lakes Cancer Treatment Center | General Practice | 2610 Uhrmann Rd, Klamath Falls, OR 97601-1123 | 2011-07-06 |
| 1811284268 | Sky Lakes Medical Center Inc | General Practice | 2617 Almond St, Klamath Falls, OR 97601-1116 | 2011-07-06 |
| 1649446691 | Sky Lakes Medical Center Inc | General Practice | 2801 Daggett Ave, Klamath Falls, OR 97601-1106 | 2008-04-30 |
| 1649489683 | Gosha M Sears | General Practice | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2007-05-22 |
| 1487863585 | Brandon Mitchell | General Practice | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2007-05-22 |
| 1053520023 | Radu Moisa | General Practice | 2821 Daggett Ave Ste 100, Klamath Falls, OR 97601-1106 | 2007-05-22 |
| 1659340370 | Sky Lakes Medical Center Inc | General Practice | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2006-03-15 |
| Find all providers in KLAMATH FALLS | ||||
| City | KLAMATH FALLS |
| Zip Code | 97601 |
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.