SISKIYOU COMMUNITY HEALTH CENTER NPI 1417326562

NPI Information

NPI: 1417326562
Provider Name: SISKIYOU COMMUNITY HEALTH CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 38D0666119

Address:
1701 NW HAWTHORNE AVE
GRANTS PASS, OR
ZIP 97526
Phone: (541) 471-3455
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SISKIYOU COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Grants Pass, OR. SISKIYOU COMMUNITY HEALTH CENTER NPI is 1417326562. The provider is registered as an organization entity type.

The provider's business location address is:

1701 NW HAWTHORNE AVE
GRANTS PASS, OR
ZIP 97526-257
Phone: (541) 471-3455

The provider's authorized official is Kurt Higuera .
The authorized official title is Ceo and has the following contact phone number (541) 955-6053.

The CLIA number assigned to this NPI record is 38D0666119 - federally qualified health center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/18/2015 and was last updated on 9/18/2015.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	127725	OREGON	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

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