| Siskiyou Community Health Center, Inc. | |
|
25647 Redwood Hwy Cave Junction OR 97531-9724 | |
| (541) 592-4111 | |
| (541) 592-3916 |
| Full Name | Siskiyou Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 25647 Redwood Hwy, Cave Junction, Oregon |
| Authorized Official Name and Position | Kurt Higuera (CEO) |
| Authorized Official Contact | 5419556053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siskiyou Community Health Center, Inc. 125 Ne Manzanita Ave Grants Pass OR 97526-1400 Ph: (541) 955-6053 | Siskiyou Community Health Center, Inc. 25647 Redwood Hwy Cave Junction OR 97531-9724 Ph: (541) 592-4111 |
| NPI Number | 1700062510 |
|---|---|
| Provider Enumeration Date | 01/11/2008 |
| Last Update Date | 01/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700062510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | IN PROCESS (Oregon) | Primary |
James D Nordal 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: Medicare Enrolled Practice Location: 25647 Redwood Hwy, Cave Junction, OR 97531 Phone: 541-592-4111 | |
Siskiyou Community Health Center, Inc. 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 | |
Siskiyou Community Health Center, Inc. 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 |