Siskiyou Community Health Center INC
NPI #1205002136 in Grants Pass, Oregon
Provider Information
- NPI Number
- 1205002136
- Entity Type
- Organization
- Organization Name
- Siskiyou Community Health Center INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Apr 30, 2008
- Last Updated
- Oct 6, 2021
Practice Location
- Address
- 1701 NW HAWTHORNE AVE
- City
- Grants Pass
- State
- Oregon
- ZIP Code
- 97526-1051
- Phone
- (541) 479-6393
Authorized Official
- Name
- RICHARD BOOTH
- Title
- CEO
- Phone
- (541) 471-3455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dental Hygienist |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
Similar Providers
| Provider Name | |
|---|---|
| Siskiyou Community Health Center INC | |
| Siskiyou Community Health Center INC Part of Siskiyou Community Health Center INC | |
| Siskiyou Community Health Center Part of Siskiyou Community Health Center, INC | |
| Siskiyou Community Health Center, INC | |
| Siskiyou Community Health Center INC Part of Siskiyou Community Health Center INC |
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