Organization
SKY LAKES MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DREWSLUCERO (DIRECTOR OF HOME HEALTH)
(541) 891-1843
Entity
Organization
Contact information
Practice address
2421 WASHBURN WAY, KLAMATH FALLS, OR 97603-4525
(541) 274-6293
(541) 274-6294
Mailing address
2421 WASHBURN WAY, KLAMATH FALLS, OR 97603-4525
(541) 274-6293
(541) 274-6294
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
13 140724
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044883
—
OR
01
—
138005000
BCBS REGENCE
OR
05
—
XHHA10140
—
CA
Enumeration date
05/23/2006
Last updated
03/28/2026
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