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SKY LAKES PHYSICIAN SERVICES NPI 1831516772


NPI Information

NPI: 1831516772
Provider Name: SKY LAKES PHYSICIAN SERVICES
Classification: Emergency Medical Technician, Basic - 146N00000X
Entity Type: Organization

CLIA Number: 38D2183701

Address:
2865 DAGGETT AVE
KLAMATH FALLS, OR
ZIP 97601
Phone: (541) 274-6221
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SKY LAKES PHYSICIAN SERVICES is an emergency medical technician basic in Klamath Falls, OR. The provider is a Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. SKY LAKES PHYSICIAN SERVICES NPI is 1831516772. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2865 DAGGETT AVE
KLAMATH FALLS, OR
ZIP 97601-106
Phone: (541) 274-6221
Fax: (541) 274-6247

The provider's authorized official is Richard Rico .
The authorized official title is Vp/cfo and has the following contact phone number (541) 274-6150.

The CLIA number assigned to this NPI record is 38D2183701 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2014 and was last updated on 4/25/2015.


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
1146N00000XEmergency Medical Technician, BasicYes

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

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