Organization · Type 2 NPI

Siskiyou Community Health Center Inc

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

NPI number 1679053946 Active

Practice location

830 NE 9th St
Grants Pass, OR 97526-1626

Call (541) 472-4777 Map

Fax (541) 471-1439

Mailing address

1701 NW Hawthorne Ave
Grants Pass, OR 97526-1051

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

Other federally qualified health center (fqhc) providers in Grants Pass

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Siskiyou Community Health Center IncFederally Qualified Health Center (FQHC) Grants Pass, OR NPI 1306500574
Siskiyou Community Health CenterFederally Qualified Health Center (FQHC) Grants Pass, OR NPI 1417326562
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See all in Grants Pass →

NPI record

NPI: 1679053946
Entity type: Organization (Type 2)
Issued: Aug 16, 2018
Last updated: Jun 30, 2026
Status: Active
Subpart: Yes of Siskiyou Community Health Center Inc

Other names

<unavail>
SBHC Grants Pass High School · other name
SBHC Grants Pass High School · other name

Authorized official

Eric Van Houten, MSW, MBA
CEO
(541) 472-4777

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1679053946

Siskiyou Community Health Center Inc's National Provider Identifier is 1679053946, issued on Aug 16, 2018. 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.