SISKIYOU HOSPITAL INC. NPI 1093892275

NPI Information

NPI: 1093892275
Provider Name: SISKIYOU HOSPITAL, INC.

Doing Business As: FAIRCHILD MEDICAL CENTER

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
444 BRUCE ST
YREKA, CA
ZIP 96097
Phone: (530) 842-4121
Get Directions

SISKIYOU HOSPITAL, INC. is a critical access general acute care hospital in Yreka, CA. SISKIYOU HOSPITAL, INC. NPI is 1093892275. The provider is registered as an organization entity type.
The provider Is Doing Business As Fairchild Medical Center.

The provider's business location address is:

444 BRUCE ST
YREKA, CA
ZIP 96097-450
Phone: (530) 842-4121
Fax: (530) 841-6242

The provider's authorized official is Jonathon C Andrus .
The authorized official title is Cheif Executive Officer and has the following contact phone number (530) 841-6200.

The CLIA number assigned to this NPI record is 05D0694825 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 12/14/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	230000035	CALIFORNIA	No
2	261QR1300X	Clinic/Center	Rural Health	230000035	CALIFORNIA	No
3	275N00000X	Medicare Defined Swing Bed Unit		230000035	CALIFORNIA	No
4	282NC0060X	General Acute Care Hospital	Critical Access	230000035	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZJ4702Z	OTHER	CALIFORNIA	BLUE SHIELD
2	HSP40217F	MEDICAID	CALIFORNIA
3	058634	MEDICARE OSCAR/CERTIFICATION	CALIFORNIA
4	ZZZ92589Z	MEDICARE PIN	CALIFORNIA
5	05Z316	MEDICARE OSCAR/CERTIFICATION	CALIFORNIA
6	ZZR00217F	MEDICAID	CALIFORNIA
7	058634	MEDICAID	CALIFORNIA
8	051316	MEDICARE OSCAR/CERTIFICATION	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »