DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KLAMATH MEDICAL CLINIC PC

MEDICARE: KLAMATH MEDICAL CLINIC PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1396774378
Entity Type Code : Organization
Provider Name (Legal Business Name) : KLAMATH MEDICAL CLINIC PC
Provider Business Mailing Address
First Line : 1905 MAIN ST
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-2638
Country : US
Telephone Number : 541-882-4691
Fax Number : 541-883-5211
Provider Business Practice Location Address
First Line : 1905 MAIN ST
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-2638
Country : US
Telephone Number : 541-882-4691
Fax Number : 541-883-5211
Authorized Official
Title or Position : PRESIDENT OF BOARD OF DIRECTORS
Name : RANDAL A MACHADO
Credential : MD
Telephone Number : 541-882-4691
Provider Enumeration Date : 07/01/2006
Last Update Date : 02/13/2008

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:
2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106
Practice Phone: 605-373-0100
Practice Fax:
1861536435 — DR. JOHN J KLEEMAN M.D.
Practice Location Address:
1905 MAIN ST
KLAMATH FALLS, OR
97601-2638
Practice Phone: 541-882-4691
Practice Fax: 541-883-5211
1306891189 — MRS. KATHLEEN BAKKE M.D.
Practice Location Address:
1905 MAIN ST
KLAMATH FALLS, OR
97601-2638
Practice Phone: 541-882-4691
Practice Fax: 541-883-5211
1790816189 — DR. GLENN G GAILIS M.D.
Practice Location Address:
1905 MAIN ST
KLAMATH FALLS, OR
97601-2638
Practice Phone: 541-882-4691
Practice Fax: 541-883-5211
1225169790 — DR. JAMES F NOVAK M.D.
Practice Location Address:
1905 MAIN ST
KLAMATH FALLS, OR
97601-2638
Practice Phone: 541-882-4691
Practice Fax: 541-883-5211
1528259025 — MS. KATHRYN ANN HUNTER PA-C
Practice Location Address:
1905 MAIN ST
KLAMATH FALLS, OR
97601-2638
Practice Phone: 541-882-4961
Practice Fax: 541-883-5211

Directions to “KLAMATH MEDICAL CLINIC PC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.