Organization
SKY LAKES MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD E RICO (VP/CFO)
(541) 274-6150
Entity
Organization
Contact information
Practice address
2617 ALMOND ST, KLAMATH FALLS, OR 97601-1116
(541) 274-6221
Mailing address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 274-6221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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