Siskiyou Community Health Center INC

NPI #1306500574 in Grants Pass, Oregon

Provider Information

NPI Number
1306500574
Entity Type
Organization
Organization Name
Siskiyou Community Health Center INC
Subpart
Yes (part of a larger organization)
Parent Organization
SISKIYOU COMMUNITY HEALTH CENTER INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Oct 25, 2021
Last Updated
Oct 25, 2021

Practice Location

Address
6741 MONUMENT DR
State
Oregon
ZIP Code
97526-8536
Phone
(541) 479-3388

Authorized Official

Name
RICHARD BOOTH
Title
CEO
Phone
(541) 471-3455

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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