Sky Lakes Medical Center, INC.
Family Medicine in Klamath Falls, OR. Organization (NPI-2).
NPI number1124437348
StatusActive
Last updated in NPPESAug 13, 2014
Details
- NPI
- 1124437348
- Entity type
- Organization (NPI-2)
- Legal business name
- Sky Lakes Medical Center, INC.
- Organization subpart
- No
- Enumeration date
- Aug 13, 2014
- Last updated
- Aug 13, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
2617 Almond StKlamath Falls, OR 97601-1116
Phone 541-274-6221
Mailing address
2865 Daggett AveKlamath Falls, OR 97601-1106
Phone 541-274-6221
Authorized official
Richard E Rico
Vp/Cfo
5412746150
Is something wrong?
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