OrganizationActive
Siskiyou Community Health Center, Inc.
NPI 1841438231 · Federally Qualified Health Center (FQHC) · Cave Junction, OR
Provider details
- NPI number
- 1841438231
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Siskiyou Community Health Center Inc
- Organization subpart
- Yes
- Authorized official
- Richard Booth, Ceo(541) 471-3455
- License
- 127725 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
520 W River St
Cave Junction, OR 97523-9504
Phone: (541) 592-6491
Fax: (541) 592-6489
Approximate (ZIP-level) locationGet directions
Mailing address
1701 Nw Hawthorne Ave
Grants Pass, OR 97526-1051
Other names (DBA / former)
- Other name
- Evergreen Elementary Sbhc
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.