Organization
SISKIYOU COMMUNITY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT HIGUERA (CEO)
(541) 955-6053
Entity
Organization
Contact information
Practice address
25647 REDWOOD HWY, CAVE JUNCTION, OR 97531-9724
(541) 592-4111
(541) 592-3916
Mailing address
125 NE MANZANITA AVE, GRANTS PASS, OR 97526-1400
(541) 955-6053
(541) 471-9242
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
IN PROCESS
OR
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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