NPI
Goose Lake Medical Services Inc
Doing business as Lake Health Medical Supply. NPI 1952761710
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2016-03-07
- Last updated
- 2025-12-18
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 220 N E St
- City
- Lakeview OR
- Postal code
- 97630-1407
- Phone
- (541) 947-2370
Organization contact
- Name
- Landon Dybdal
- Title
- CEO/Authorized Official
- Phone
- (541) 947-7307
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Lakeview, OR. 140 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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