Provider Demographics
NPI:1427123512
Name:R & K LIGHTHOUSE, INC
Entity type:Organization
Organization Name:R & K LIGHTHOUSE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT GM
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:ASKAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-998-3202
Mailing Address - Street 1:311 W 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97448-1607
Mailing Address - Country:US
Mailing Address - Phone:541-998-3202
Mailing Address - Fax:541-998-3202
Practice Address - Street 1:311 W 6TH AVE
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:OR
Practice Address - Zip Code:97448-1607
Practice Address - Country:US
Practice Address - Phone:541-998-3202
Practice Address - Fax:541-998-3202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR280182-99332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies