| Siskiyou Community Health Center, Inc. | |
|
25647 Redwood Hwy Cave Junction OR 97531-9724 | |
| (541) 592-4111 | |
| Not Available |
| Full Name | Siskiyou Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 25647 Redwood Hwy, Cave Junction, Oregon |
| Authorized Official Name and Position | Richard Booth (CEO) |
| Authorized Official Contact | 5414713455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Siskiyou Community Health Center, Inc. 1701 Nw Hawthorne Ave Grants Pass OR 97526-1051 Ph: (541) 471-3455 | Siskiyou Community Health Center, Inc. 25647 Redwood Hwy Cave Junction OR 97531-9724 Ph: (541) 592-4111 |
| NPI Number | 1669638417 |
|---|---|
| Provider Enumeration Date | 07/31/2008 |
| Last Update Date | 10/06/2021 |
| Medicare PECOS PAC ID | 6305747288 |
|---|---|
| Medicare Enrollment ID | O20080916000486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669638417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 127725 (Oregon) | Primary |
Cave Junction Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 W Palmer St, Cave Junction, OR 97523 Phone: 541-592-5099 Fax: 541-592-4636 | |
Siskiyou Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 E River St, Cave Junction, OR 97523 Phone: 541-592-3749 Fax: 541-592-3749 | |
Siskiyou Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25647 Redwood Hwy, Cave Junction, OR 97531 Phone: 541-592-4111 Fax: 541-592-3916 | |
Lorna Byrne Middle School Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S Junction Ave, Cave Junction, OR 97523 Phone: 541-592-6978 Fax: 541-592-6702 | |
Evergreen Elementary Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 W River St, Cave Junction, OR 97523 Phone: 541-592-6491 Fax: 541-592-6489 |