GOOSE LAKE MEDICAL SERVICES INC


Address: 16 N F St, Lakeview, OR 97630-1528
Phone: 5419472370

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BX2000X Durable Medical Equipment & Medical Supplies
Specialization: Oxygen Equipment & Supplies
Suppliers

Other Provider/Organization Names

Other Name Type Code
Lake Health Medical Supply Doing Business As Name - Organization

Office Location

Street Address 16 N F ST
City LAKEVIEW
State OR
Zip Code 97630-1528

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 332BX2000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Oxygen Equipment & Supplies

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043817802 Northwest Medical LLC Durable Medical Equipment & Medical Supplies 17933 Nw Evergreen Pl Ste 270, Beaverton, OR 97006-7532 2020-10-05
1790326882 Performance Modalities Inc Durable Medical Equipment & Medical Supplies 10373 Ne Hancock St Ste 128, Portland, OR 97220-3873 2019-10-01
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
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Competitor

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City LAKEVIEW
Zip Code 97630

Improve Information

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Dataset Information

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.

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