Organization
SKY LAKES PHYSICIAN SERVICES
Active
Parent organization
SKY LAKES MEDICAL CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SKY LAKES MEDICAL CENTER, INC.
Authorized official
RICHARD RICO (VP/CFO)
(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
146N00000X
Basic Emergency Medical Technician
Primary
—
—
Other
Enumeration date
03/27/2014
Last updated
04/25/2015
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