GOOSE LAKE MEDICAL SERVICES INC; NPI #1952761710

Contact Information

GOOSE LAKE MEDICAL SERVICES INC

220 N E ST
LAKEVIEW, OR 97630-1407

Phone: 541-947-2370
Fax: 541-947-0929
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oxygen Equipment & Supplies	332BX2000X	B1	Oxygen supplier

Indicates primary specialty

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NPI Profile & details for GOOSE LAKE MEDICAL SERVICES INC

NPI Number	`1952761710`
LBN Legal business name	GOOSE LAKE MEDICAL SERVICES INC
Authorized official	LANDON DYBDAL - (CEO/AUTHORIZED OFFICIAL)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/07/2016
Last updated	12/18/2025 - About 6 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GOOSE LAKE MEDICAL SERVICES INC

Contact Information

Specialty

Oxygen Equipment & Supplies

NPI Profile & details for GOOSE LAKE MEDICAL SERVICES INC

Reviews for GOOSE LAKE MEDICAL SERVICES INC