| Siskiyou Family Healthcare | |
|
700 S Main St Yreka CA 96097-3354 | |
| (530) 842-0817 | |
| (530) 842-3597 |
| Full Name | Siskiyou Family Healthcare |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 700 S Main St, Yreka, California |
| Authorized Official Name and Position | Jonathon Andrus (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5308424121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siskiyou Family Healthcare 444 Bruce St Yreka CA 96097-3450 Ph: (530) 842-4121 | Siskiyou Family Healthcare 700 S Main St Yreka CA 96097-3354 Ph: (530) 842-0817 |
| NPI Number | 1578890653 |
|---|---|
| Provider Enumeration Date | 11/10/2009 |
| Last Update Date | 03/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578890653 | NPI | - | NPPES |
| RHM53948F | Medicaid | CA | |
| 55-3948 | Other | CA | MEDICARE RHC # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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