Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SISKIYOU COMMUNITY HEALTH CENTER PHARMACY
Active
Organization
SISKIYOU COMMUNITY HEALTH CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC VAN HOUTEN MSW, MBA (CEO)
(541) 472-4777
Entity
Organization
Contact information
Practice address
25647 REDWOOD HWY, CAVE JUNCTION, OR 97523-9332
(541) 592-2010
(541) 592-2011
Mailing address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 472-4777
(541) 471-1439
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP-0003008-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500715326
—
OR
Enumeration date
05/12/2016
Last updated
06/30/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers