NPIMap

Organization Active NPI

Sky Lakes Cancer Treatment Center

  • General Practice Physician
  • Klamath Falls, OR
National Provider Identifier
1902193352
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14-0724 Issued in OR
Legal business name
SKY LAKES CANCER TREATMENT CENTER
Practice address
2610 Uhrmann Rd
Klamath Falls, OR 97601-1123
Phone
(541) 274-6221
Fax
(541) 274-6247
NPI assigned
Jul 6, 2011
Organization subpart
Yes
Parent organization
SKY LAKES MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Richard E Rico
Title
VP
Phone
(541) 274-6150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X 14-0724 OR Primary

Addresses

Primary practice location

2610 Uhrmann Rd
Klamath Falls, OR 97601-1123

Mailing address

2865 Daggett Ave
Klamath Falls, OR 97601-1106
Phone (541) 274-6221

National Provider Directory

National Provider Directory
Tax ID family
West Bahavioral Service23 organizations share this tax ID, including this one
Part of
West Bahavioral Service

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

2610 Uhrmann Rd
Klamath Falls, OR 97601
Phone (541) 274-4171

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1902193352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 DAGGETT AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011106",
            "telephone_number": "541-274-6221",
            "fax_number": "541-274-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 UHRMANN RD",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011123",
            "telephone_number": "541-274-6221",
            "fax_number": "541-274-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY LAKES CANCER TREATMENT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SKY LAKES MEDICAL CENTER, INC.",
        "enumeration_date": "2011-07-06",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "RICO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "541-274-6150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "OR",
            "license": "14-0724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.