# SKY LAKES MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659340370
- **Authorized official:** MR. RICHARD E RICO (VP)
- **Authorized official phone:** (541) 274-6150

## Contact information

- **Practice address:** 2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
- **Practice address phone:** (541) 274-6221
- **Practice address fax:** (541) 274-6247
- **Mailing address:** 2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
- **Mailing address phone:** (541) 274-6221
- **Mailing address fax:** (541) 274-6247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 282N00000X | General Acute Care Hospital | 140724 | OR | Yes |

## Other

- **Enumeration date:** 03/15/2006
- **Last updated:** 12/15/2025