# SKY LAKES MEDICAL CENTER

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

## Provider details

- **NPI number:** 1811130149
- **Authorized official:** PAUL STEWART (PRESIDENT/CEO)
- **Authorized official phone:** (541) 274-6150

## Contact information

- **Practice address:** 5471 GLENRIDGE WAY, KLAMATH FALLS, OR 97603-3954
- **Practice address phone:** (541) 274-3830
- **Mailing address:** 5471 GLENRIDGE WAY, KLAMATH FALLS, OR 97603-3954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 920 | OR | Yes |

## Other

- **Enumeration date:** 04/16/2009
- **Last updated:** 04/16/2009