Siskiyou Community Health Center Dental Facility

LBN: Siskiyou Community Health Center Inc
Siskiyou Community Health Center Dental Facility is an health care organization with primary practice located at 1701 Nw Hawthorne Ave , Grants Pass OR 97526-1051. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dental Hygienist, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Siskiyou Community Health Center Inc can be contacted via phone (541) 479-6393, or through Booth, Richard via phone (541) 471-3455.

Contact Information

Primary practice address
1701 Nw Hawthorne Ave Grants Pass OR 97526-1051
Phone: (541) 479-6393
Fax: (541) 479-6489
Website:
Map and Directions
Authorized official contact:
Name: Booth, Richard
Phone: (541) 471-3455

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Dental Hygienist 124Q00000X H3448 Oregon
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1205002136
LBN Legal business name Siskiyou Community Health Center Inc
DBA Doing business as Siskiyou Community Health Center Dental Facility
Authorized official Booth, Richard
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2008
Last updated Oct 6th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers