Siskiyou Community Health Center, INC

NPI #1427046903 in Grants Pass, Oregon

Provider Information

NPI Number
1427046903
Entity Type
Organization
Organization Name
Siskiyou Community Health Center, INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Oct 10, 2005
Last Updated
Jul 2, 2025

Practice Location

Address
1701 NW HAWTHORNE AVE
State
Oregon
ZIP Code
97526-1051
Phone
(541) 472-4777

Authorized Official

Name
ERIC VAN HOUTEN, MSW, MBA
Title
CHIEF EXECUTIVE OFFICER
Phone
(541) 472-4777

Specialties & Taxonomy Codes

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

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