Organization
SISKIYOU COMMUNITY HEALTH CENTER
Active
Parent organization
SISKIYOU COMMUNITY HEALTH CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SISKIYOU COMMUNITY HEALTH CENTER, INC
Authorized official
KURT HIGUERA (CEO)
(541) 955-6053
Entity
Organization
Contact information
Practice address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1257
(541) 471-3455
Mailing address
25647 REDWOOD HWY, CAVE JUNCTION, OR 97523-9332
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
127725
OR
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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