SISKIYOU COMMUNITY HEALTH CENTER INC NPI 1205002136

NPI Information

NPI: 1205002136
Provider Name: SISKIYOU COMMUNITY HEALTH CENTER INC

Other Name: SISKIYOU COMMUNITY HEALTH CENTER DENTAL FACILITY

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1701 NW HAWTHORNE AVE
GRANTS PASS, OR
ZIP 97526
Phone: (541) 479-6393
Get Directions

SISKIYOU COMMUNITY HEALTH CENTER INC is a federally qualified health center (fqhc) clinic center in Grants Pass, OR. SISKIYOU COMMUNITY HEALTH CENTER INC NPI is 1205002136. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Siskiyou Community Health Center Dental Facility.

The provider's business location address is:

1701 NW HAWTHORNE AVE
GRANTS PASS, OR
ZIP 97526-051
Phone: (541) 479-6393
Fax: (541) 479-6489

The provider's authorized official is Richard Booth .
The authorized official title is Ceo and has the following contact phone number (541) 471-3455.

The enumeration date for this NPI number is 4/30/2008 and was last updated on 10/6/2021.

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	1223G0001X	Dentist	General Practice			No
2	124Q00000X	Dental Hygienist		H3448	OREGON	No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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 »