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
ERIC VAN HOUTEN MSW, MBA (CEO)
(541) 472-4777
Entity
Organization
Contact information
Practice address
25647 REDWOOD HWY, CAVE JUNCTION, OR 97523-9332
(541) 592-4111
(541) 592-3916
Mailing address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 472-4777
(541) 471-1439
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
127725
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127725
—
OR
Enumeration date
07/31/2008
Last updated
06/30/2026
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