OrganizationActive
Siskiyou Community Health Center, Inc.
NPI 1558509935 · Federally Qualified Health Center (FQHC) · Cave Junction, OR
Provider details
- NPI number
- 1558509935
- 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
- License
- 127725 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
625 E River St
Cave Junction, OR 97523-9382
Phone: (541) 592-3749
Fax: (541) 592-3749
Street-level locationGet directions
Mailing address
1701 Nw Hawthorne Ave
Grants Pass, OR 97526-1051
Registry dates
- Enumerated
- 2009-01-23
- Last updated
- 2021-10-06
- Certified
- 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.