GOOSE LAKE MEDICAL SERVICES INC (NPI# 1952761710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952761710 |
Entity Type | Organization |
Organization Name | GOOSE LAKE MEDICAL SERVICES INC |
Other Organization Name | LAKE HEALTH MEDICAL SUPPLY |
Practice Address |
16 N F St Lakeview OR 97630-1528 |
Mailing Address |
700 S J St Lakeview OR 97630-1623 |
Practice Telephone | 5419472370 |
Practice Fax Number | 5419470929 |
Mailing Telephone | 5419472114 |
Mailing Fax Number | 5419472433 |
Enumeration Date | 2016-03-07 |
Last Update Date | 2016-11-17 |
Authorized Official Name | MR. CHARLIE TVEIT (CEO) |
Authorized Official Telephone | 5419472114 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
Other Name | Type Code |
---|---|
Lake Health Medical Supply | Doing Business As Name - Organization |
Street Address |
16 N F ST |
City | LAKEVIEW |
State | OR |
Zip Code | 97630-1528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891186326 | Susan Ann Mungarro | Counselor | 215 North G Street, Lakeview, OR 97630 | 2015-02-05 |
1699183236 | Lake Health District | Clinic/Center | 700 South J St, Lakeview, OR 97630 | 2014-07-28 |
1912059569 | Howards Pharmacy Inc | Pharmacy | 101 North F St, Lakeview, OR 97630 | 2007-01-16 |
1316056120 | Michael Sabin Dmd PC | Dentist | 733 N 1st Street, Lakeview, OR 97630 | 2006-08-29 |
1174586564 | Donald Frank Ott | Nurse Anesthetist, Certified Registered | 700 S J, Lakeview, OR 97630 | 2006-04-08 |
1760922033 | Darrel Kyniston Kyniston | Counselor | 215 North G Street, Lakeview, OR 97630 | 2017-03-06 |
1518376722 | Lakeview Gardens LLC | Skilled Nursing Facility | 700 South J St, Lakeview, OR 97630 | 2014-08-13 |
1184935876 | Matthew Christopher Foster | Family Medicine | 700 S J St, Lakeview, OR 97630 | 2010-06-28 |
1457407264 | Angelyn Ray | Social Worker | 100 N. D Street, Office # 208 The Marius Building, Lakeview, OR 97630-0000 | 2007-01-25 |
1003823790 | Mary Juree Anderson | Registered Nurse | 530 Sunset, Lakeview, OR 97630-0032 | 2006-08-02 |
Find all providers in zip 97630 |
Taxonomy Code | 332BX2000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Oxygen Equipment & Supplies |
Definition to come... |
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1649822636 | Todays Dme, Inc | Durable Medical Equipment & Medical Supplies | 1312 Redwood Ave, Grants Pass, OR 97527-5520 | 2019-07-10 |
1679070908 | Edm Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 2859 22nd St Se, Salem, OR 97302-1554 | 2018-04-12 |
1437597978 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 2685 Commercial St Ne, Salem, OR 97301-6502 | 2013-06-06 |
1578908034 | Nationwide Medical, Inc | Durable Medical Equipment & Medical Supplies | 700 Bellevue St Se Ste. 120, Salem, OR 97301-3819 | 2013-05-09 |
1225473051 | Nationwide Medical, Inc | Durable Medical Equipment & Medical Supplies | 133 Ne Dunn Pl, Mcminnville, OR 97128-9081 | 2013-05-07 |
1235497710 | Lifestyle Hospice Foundation, Inc. | Durable Medical Equipment & Medical Supplies | 2390 Sw 4th Ave, Ontario, OR 97914-1852 | 2012-05-02 |
1013291657 | Stateserv Medical of Oregon, LLC | Durable Medical Equipment & Medical Supplies | 26100 Sw 95th Ave, Suite 200, Wilsonville, OR 97070 | 2011-09-30 |
1124346853 | 2nd Wind Sleep Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 2296 Nw Kings Blvd, Ste. 101, Corvallis, OR 97330-3899 | 2010-05-05 |
Find all providers with the same taxonomy |
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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.