Organization
SISKIYOU HOSPITAL INC.
Active
Other names
Siskiyou Family Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHON ANDRUS (CHIEF EXECUTIVE OFFICER)
(530) 842-4121
Entity
Organization
Contact information
Practice address
700 S MAIN ST, YREKA, CA 96097-3354
(530) 842-0817
(530) 842-3597
Mailing address
444 BRUCE ST, YREKA, CA 96097-3450
(530) 842-4121
(530) 841-0913
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55-3948
MEDICARE RHC #
CA
05
—
RHM53948F
—
CA
Enumeration date
11/10/2009
Last updated
03/22/2010
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