# SKY LAKES MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SKY LAKES MEDICAL CENTER INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629310404
- **Legal business name:** SKY LAKES MEDICAL CENTER INC
- **Authorized official:** RICHARD RICO (VP/CFO)
- **Authorized official phone:** (541) 274-6150

## Contact information

- **Practice address:** 1905 MAIN ST, KLAMATH FALLS, OR 97601-2638
- **Practice address phone:** (541) 274-6221
- **Mailing address:** 2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
- **Mailing address phone:** (541) 274-6221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 14-0724 | OR | Yes |

## Other

- **Enumeration date:** 03/20/2013
- **Last updated:** 03/20/2013