Organization
SISKIYOU COMMUNITY HEALTH CENTER, INC.
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
RICHARD BOOTH (CEO)
(541) 471-3455
Entity
Organization
Contact information
Practice address
25647 REDWOOD HWY, CAVE JUNCTION, OR 97531-9724
(541) 592-4111
Mailing address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 471-3455
(541) 471-9242
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
127725
OR
Other
Enumeration date
07/31/2008
Last updated
10/06/2021
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