Organization
SKY LAKES MEDICAL CENTER INC
Active
Organization
SKY LAKES MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD E RICO (VP)
(541) 274-6150
Entity
Organization
Contact information
Practice address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 274-6221
(541) 274-6247
Mailing address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 274-6221
(541) 274-6247
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OR
332BC3200X
Customized Equipment (DME)
—
OR
Other
Enumeration date
05/30/2007
Last updated
11/10/2009
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