GOOSE LAKE MEDICAL SERVICES INC NPI 1952761710

NPI Information

NPI: 1952761710
Provider Name: GOOSE LAKE MEDICAL SERVICES INC

Doing Business As: LAKE HEALTH MEDICAL SUPPLY

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
16 N F ST
LAKEVIEW, OR
ZIP 97630
Phone: (541) 947-2370
Get Directions

GOOSE LAKE MEDICAL SERVICES INC is an oxygen equipment and supplies durable medical equipment medical supplies in Lakeview, OR. GOOSE LAKE MEDICAL SERVICES INC NPI is 1952761710. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Health Medical Supply.

The provider's business location address is:

16 N F ST
LAKEVIEW, OR
ZIP 97630-528
Phone: (541) 947-2370
Fax: (541) 947-0929

The provider's authorized official is Charlie Tveit .
The authorized official title is Ceo and has the following contact phone number (541) 947-2114.

The enumeration date for this NPI number is 3/7/2016 and was last updated on 11/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7562260001	MEDICARE NSC	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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