SKY LAKES PHYSICIAN SERVICES
NPI 1831516772
Emergency Medical Technician, Basic in Klamath Falls, OR

NPI Status: Active since March 27, 2014

Contact Information

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

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  • Organization
  • Emergency Medical Technician, Basic
  • Accepts Insurance
  • CLIA Number: 38D2183701
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-07-2026

About SKY LAKES PHYSICIAN SERVICES

This page provides the complete NPI Profile along with additional information for Sky Lakes Physician Services, a provider established in Klamath Falls, Oregon operating as a Emergency Medical Technician, Basic. The healthcare provider is registered in the NPI registry with number 1831516772 assigned on March 2014. The practitioner's primary taxonomy code is 146N00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Sky Lakes Physician Services operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Richard Rico (Vp/cfo)

NPI
1831516772
Provider Name
SKY LAKES PHYSICIAN SERVICES
Entity Type
Organization
Location Address
2865 DAGGETT AVE KLAMATH FALLS, OR 97601
Location Phone
(541) 274-6221
Location Fax
(541) 274-6247
Mailing Address
2865 DAGGETT AVE KLAMATH FALLS, OR 97601
Mailing Phone
(541) 274-6221
Mailing Fax
(541) 274-6247
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-27-2014
Last Update Date
04-25-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medical Technician, Basic

Taxonomy Code
146N00000X
Type
Emergency Medical Service Providers
Taxonomy Description
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RICHARD RICO

Authorized Official Title
VP/CFO
Authorized Official Phone
(541) 274-6150

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D2183701
Facility Type
Physician Office
Certificate Effective Date
May 08, 2024
Certificate Expiration Date
May 07, 2026
Laboratory Director
YETUNDE AKINS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sky Lakes Physician Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1831516772, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
3
Doubled → 6
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 5 → 10 → 1 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 6 + 1 + 1 + 0 + 1 + 1 + 2 + 7 + 1 + 4 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1831516772.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology & Clinical Pathology)
2865 DAGGETT AVE
KLAMATH FALLS, OR 97601
Anesthesiology
2865 DAGGETT AVE
KLAMATH FALLS, OR 97601
Anesthesiology
2865 DAGGETT AVE
KLAMATH FALLS, OR 97601
Specialist/Technologist (Athletic Trainer)
2865 DAGGETT AVE
KLAMATH FALLS, OR 97601
Anesthesiology
2865 DAGGETT AVE
KLAMATH FALLS, OR 97601
Anesthesiology
2865 DAGGETT AVE
KLAMATH FALLS, OR 97601
Anesthesiology
2865 DAGGETT AVE
KLAMATH FALLS, OR 97601
Emergency Medicine
2865 DAGGETT AVE
KLAMATH FALLS, OR 97601
Pharmacist
2865 DAGGETT AVE, MERLE WEST MEDICAL CENTER
KLAMATH FALLS, OR 97601
Pharmacist
2865 DAGGETT AVE
KLAMATH FALLS, OR 97601
Pharmacist
2865 DAGGETT AVE, WEST ANTICOAGULATION CLINIC WEST INFUSION
KLAMATH FALLS, OR 97601
Pharmacist
2865 DAGGETT AVE
KLAMATH FALLS, OR 97601
Emergency Medicine
2865 DAGGETT AVE
KLAMATH FALLS, OR 97601
Nurse Practitioner (Family)
2865 DAGGETT AVE
KLAMATH FALLS, OR 97601
Anesthesiology
2865 DAGGETT AVE
KLAMATH FALLS, OR 97601
Pharmacist
2865 DAGGETT AVE
KLAMATH FALLS, OR 97601
Durable Medical Equipment & Medical Supplies
2865 DAGGETT AVE
KLAMATH FALLS, OR 97601
Emergency Medicine
2865 DAGGETT AVE
KLAMATH FALLS, OR 97601
Emergency Medicine
2865 DAGGETT AVE
KLAMATH FALLS, OR 97601
Dietitian, Registered
2865 DAGGETT AVE
KLAMATH FALLS, OR 97601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831516772, enumerated as an "organization" on March 27, 2014.

The provider is located at 2865 DAGGETT AVE KLAMATH FALLS, OR 97601 and the phone number is (541) 274-6221.

Emergency Medical Technician, Basic with taxonomy code 146N00000X.

The provider might be accepting Accepts: PacificSource Health Plans. Please consult your insurance carrier or call the provider to verify.