Siskiyou Community Health Center, Inc.

NPI #1841438231 in Cave Junction, Oregon

Provider Information

NPI Number
1841438231
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
Jan 23, 2009
Last Updated
Oct 6, 2021

Practice Location

Address
520 W RIVER ST
State
Oregon
ZIP Code
97523-9504
Phone
(541) 592-6491

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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