Siskiyou Community Health Center Inc
NPI 1205002136 · Federally Qualified Health Center (FQHC) · Grants Pass, OR
Siskiyou Community Health Center Inc is a Federally Qualified Health Center (FQHC) organization in Grants Pass, OR (NPI 1205002136).
Provider details
- NPI number
- 1205002136
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Richard Booth, Ceo(541) 471-3455
Specialties & taxonomies
Ambulatory Health Care Facilities
- General Practice Dentistry1223G0001X
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Siskiyou Community Health Center Dental Facility
- Other name
- Siskiyou Community Health Center Dental Facility
Registry dates
- Enumerated
- 2008-04-30
- Last updated
- 2021-10-06
- Certified
- 2021-10-06
Frequently asked questions
- What is Siskiyou Community Health Center Inc's NPI number?
- Siskiyou Community Health Center Inc's National Provider Identifier (NPI) is 1205002136, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Siskiyou Community Health Center Inc?
- Siskiyou Community Health Center Inc is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Siskiyou Community Health Center Inc located?
- Siskiyou Community Health Center Inc's practice location on file with NPPES is 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051.
- What is Siskiyou Community Health Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Siskiyou Community Health Center Inc is (541) 479-6393.
- Who is the authorized official for Siskiyou Community Health Center Inc?
- The authorized official listed on Siskiyou Community Health Center Inc's NPPES record is Richard Booth, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Siskiyou Community Health Center Inc's NPI active?
- Yes — Siskiyou Community Health Center Inc's NPI (1205002136) is active in the NPPES registry as of the last update on 2021-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.