SISKIYOU COMMUNITY HEALTH CENTER


Address: 1701 Nw Hawthorne Av.#201, Grants Pass, OR 97526-1051

SISKIYOU COMMUNITY HEALTH CENTER (DUNS #789868478) is an entity registered with System for Award Management (SAM). The business start date is April 1, 1974.

Business Overview

DUNS Number 789868478 (Data Universal Numbering System by Dun & Bradstreet)
CAGE Code 48XJ1 (Commercial and Government Entity Code by NATO Codification System)
DBA Name SISKIYOU COMMUNITY HEALTH CENTER
Entity Structure 8H - Corporate Entity (Tax Exempt)
Physical Address 1701 Nw Hawthorne Av.#201
Grants Pass
OR 97526-1051
Mailing Address 1701 Nw Hawthorne Ave
Grants Pass
OR 97526
Business Type 2U - Other Not For Profit Organization
Primary NAICS Code 621111 - Offices of Physicians (except Mental Health Specialists)
NAICS Code 621210 - Offices of Dentists
Product and Service Code (PSC) Q201 (MEDICAL- GENERAL HEALTH CARE) Healthcare Services
Corporate URL www.siskiyouhealthcenter.com
Credit Card Usage Y
Debt Subject to Offset N
Incorporation State OR
Congressional District 02
Registration Purpose Z2 - All Awards
Record Status Active
Business Start Date April 1, 1974
Registration Date December 28, 2005
Expiration Date September 29, 2021
Update Date October 1, 2020
Activation Date October 1, 2020
Fiscal Year End Date 0630

Points of Contacts (POC)

Electronic Business POC

Contact Name & Title Brian Laubscher (CHIEF COMPLIANCE OFFICER)
Address 1701 Nw Hawthorne Ave, Grants Pass, OR 97526
Phone Number 5419556053 ext. 1113
Fax Number 5414719242
Email Address [email protected]

Electronic Business Alternate POC

Contact Name & Title Richard Booth
Address 1701 Nw Hawthorne Ave, Grants Pass, OR 97526
Phone Number 5419556053 ext. 1145
Fax Number 5414719242
Email Address [email protected]

Government Business POC

Contact Name & Title Richard Booth (CEO)
Address 1701 Nw Hawthorne Ave, Grants Pass, OR 97526
Phone Number 5419556053 ext. 1145
Fax Number 5414719242
Email Address [email protected]

Government Business Alternate POC

Contact Name & Title Richard Booth (COO)
Address 1701 Nw Hawthorne Ave, Grants Pass, OR 97526
Phone Number 5419556053 ext. 1145
Fax Number 5414719242
Email Address [email protected]

Other Data Sources

Entity Type Entity Name Entity Address
National Provider Identifier (NPI) SISKIYOU COMMUNITY HEALTH CENTER 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1257
National Provider Identifier (NPI) SISKIYOU COMMUNITY HEALTH CENTER INC 1035 Ne 6th St, Suite B, Grants Pass, OR 97526-1298
National Provider Identifier (NPI) SISKIYOU COMMUNITY HEALTH CENTER PHARMACY 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1257
National Provider Identifier (NPI) SISKIYOU COMMUNITY HEALTH CENTER, INC 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1257
Oregon Corporations, Companies and Business Names SISKIYOU COMMUNITY HEALTH CENTER, INC. 1701 Nw Hawthorne Ave, Grants Pass, OR 97526
National Provider Identifier (NPI) SISKIYOU COMMUNITY HEALTH CENTER, INC. 25647 Redwood Hwy, Cave Junction, OR 97531-9724

Office Location

Street Address 1701 NW HAWTHORNE AV.#201
City GRANTS PASS
State OR
Zip Code 97526

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Entity Name Office Address Start Date
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1100 N Schoolhouse Creek Rd, Grants Pass, OR 97526-9790 19960101
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Mayfield Oil Co-stoves 2500 Foothill Blvd, Grants Pass, OR 97526-3603 19951001
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· Cavemanheating 1010 Se Milbank Rd, Grants Pass, OR 97526-3990 19810101
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Business Officer

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City GRANTS PASS
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Dataset Information

Data Provider System for Award Management (SAM)
Jurisdiction United States

This dataset includes 670 thousands business entities registered with the System for Award Management (SAM), General Services Administration. Each entity is registered with DUNS ID, business name, location, point of contacts, business types, etc.

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