Organization · Type 2 NPI

Siskiyou Community Health Center Inc

Federally Qualified Health Center (FQHC) · Grants Pass, OR

NPI number 1205002136 Active

Practice location

1701 NW Hawthorne Ave
Grants Pass, OR 97526-1051

Call (541) 479-6393 Map

Fax (541) 479-6489

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XNone listed
Dental Hygienist 124Q00000XH3448 (OR)
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1205002136

Siskiyou Community Health Center Inc's National Provider Identifier is 1205002136, issued on Apr 30, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Grants Pass, OR. The record was last updated on Jun 30, 2026.