# SISKIYOU HOSPITAL INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Siskiyou Family Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578890653
- **Authorized official:** MR. JONATHON ANDRUS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (530) 842-4121

## Contact information

- **Practice address:** 700 S MAIN ST, YREKA, CA 96097-3354
- **Practice address phone:** (530) 842-0817
- **Practice address fax:** (530) 842-3597
- **Mailing address:** 444 BRUCE ST, YREKA, CA 96097-3450
- **Mailing address phone:** (530) 842-4121
- **Mailing address fax:** (530) 841-0913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/10/2009
- **Last updated:** 03/22/2010