Organization · Type 2 NPI

Siskiyou Community Health Center Inc

Federally Qualified Health Center (FQHC) · Cave Junction, OR

NPI number 1740428127 Active

Practice location

101 S Junction Ave
Cave Junction, OR 97523-9006

Call (541) 592-4111 Map

Fax (541) 592-3916

Mailing address

1701 NW Hawthorne Ave
Grants Pass, OR 97526-1051

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	127725 (OR)

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

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See all in Cave Junction →

NPI record

NPI: 1740428127
Entity type: Organization (Type 2)
Issued: Jan 23, 2009
Last updated: Jul 17, 2026
Status: Active
Subpart: Yes of Siskiyou Community Health Center Inc

Other names

<unavail>
Lorna Byrne Middle School SBHC · 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 1740428127

Siskiyou Community Health Center Inc's National Provider Identifier is 1740428127, issued on Jan 23, 2009. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Cave Junction, OR. The record was last updated on Jul 17, 2026.