SISKIYOU COMMUNITY HEALTH CENTER, INC. (NPI# 1700062510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700062510 |
| Entity Type | Organization |
| Organization Name | SISKIYOU COMMUNITY HEALTH CENTER, INC. |
| Practice Address |
25647 Redwood Hwy Cave Junction OR 97531-9724 |
| Mailing Address |
125 Ne Manzanita Ave Grants Pass OR 97526-1400 |
| Practice Telephone | 5415924111 |
| Practice Fax Number | 5415923916 |
| Mailing Telephone | 5419556053 |
| Mailing Fax Number | 5414719242 |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |
| Authorized Official Name | MR. KURT HIGUERA (CEO) |
| Authorized Official Telephone | 5419556053 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
IN PROCESS | OR | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841438231 | Siskiyou Community Health Center, Inc. | Clinic/Center | 520 W River St, Cave Junction, OR 97523-9504 | 2009-01-23 |
| 1558509935 | Siskiyou Community Health Center, Inc. | Clinic/Center | 625 E River St, Cave Junction, OR 97523-9382 | 2009-01-23 |
| 1740428127 | Siskiyou Community Health Center, Inc. | Clinic/Center | 101 S Junction Ave, Cave Junction, OR 97523-9006 | 2009-01-23 |
| 1669638417 | Siskiyou Community Health Center, Inc. | Clinic/Center | 25647 Redwood Hwy, Cave Junction, OR 97531-9724 | 2008-07-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SISKIYOU COMMUNITY HEALTH CENTER, INC. | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526 |
| Street Address |
25647 REDWOOD HWY |
| City | CAVE JUNCTION |
| State | OR |
| Zip Code | 97531-9724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506202 | Susan E. Berg | Clinical Nurse Specialist | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2005-05-31 |
| 1427404094 | Siskiyou Community Health Center Pharmacy | Pharmacy | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2016-05-12 |
| 1316304652 | Kristi Ibarra | Registered Nurse | 25647 Redwood Hwy, Cave Junction, OR 97523 | 2016-01-18 |
| 1396141255 | Siskiyou Community Health Center Pharmacy | Pharmacy | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2014-11-05 |
| 1023362894 | Barbara Jo Franklin | Nurse Practitioner | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2012-11-01 |
| 1972896389 | Natalie Laubscher | Pharmacist | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2011-05-18 |
| 1992098362 | Brian Sydney Laubscher | Pharmacist | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2011-05-18 |
| 1275852212 | Larry Bates | Counselor | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2010-05-28 |
| 1669638417 | Siskiyou Community Health Center, Inc. | Clinic/Center | 25647 Redwood Hwy, Cave Junction, OR 97531-9724 | 2008-07-31 |
| 1356472161 | Michael George Pruner | Nurse Practitioner | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720287733 | Sharon Lee Silva | Registered Nurse | 101 Josephine Street, Kerby, OR 97531 | 2007-07-11 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841438231 | Siskiyou Community Health Center, Inc. | Clinic/Center | 520 W River St, Cave Junction, OR 97523-9504 | 2009-01-23 |
| 1558509935 | Siskiyou Community Health Center, Inc. | Clinic/Center | 625 E River St, Cave Junction, OR 97523-9382 | 2009-01-23 |
| 1740428127 | Siskiyou Community Health Center, Inc. | Clinic/Center | 101 S Junction Ave, Cave Junction, OR 97523-9006 | 2009-01-23 |
| 1669638417 | Siskiyou Community Health Center, Inc. | Clinic/Center | 25647 Redwood Hwy, Cave Junction, OR 97531-9724 | 2008-07-31 |
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|---|---|---|---|---|
| 1215540398 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 102 Christian Avenue, Talent, OR 97540 | 2020-08-28 |
| 1790398048 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 307 Wagner Creek Road, Talent, OR 97540 | 2020-08-26 |
| 1922656289 | Clackamas County | Clinic/Center | 39831 Highway 26, Sandy, OR 97055-6558 | 2019-08-29 |
| 1063067312 | Virginia Garcia Memorial Health Center | Clinic/Center | 11300 Sw Hazelbrook Rd, Tualatin, OR 97062-6980 | 2019-08-05 |
| 1417411505 | Klamath Health Partnership, Inc | Clinic/Center | 2210 N Eldorado Ave Ste A, Klamath Falls, OR 97601-6418 | 2019-01-23 |
| 1679053946 | Siskiyou Community Health Center Inc | Clinic/Center | 830 Ne 9th St, Grants Pass, OR 97526-1626 | 2018-08-16 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1598284242 | Winding Waters Medical Clinic | Clinic/Center | 401b N Main St, Joseph, OR 97846-5030 | 2017-09-13 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
| Find all providers with the same taxonomy | ||||
| City | CAVE JUNCTION |
| Zip Code | 97531 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.