SISKIYOU COMMUNITY HEALTH CENTER, INC
NPI 1427046903
Clinic/Center - Federally Qualified Health Center (FQHC) in Grants Pass, OR

NPI Status: Active since October 10, 2005

Contact Information

1701 NW HAWTHORNE AVE
GRANTS PASS, OR
ZIP 97526
Phone: (541) 472-4777
Fax: (541) 471-1439

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance

About SISKIYOU COMMUNITY HEALTH CENTER, INC

This page provides the complete NPI Profile along with additional information for Siskiyou Community Health Center, Inc, a primary care provider established in Grants Pass, Oregon operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1427046903 assigned on October 2005. The practitioner's primary taxonomy code is 261QF0400X with license number 127725 (OR). The provider is registered as an organization and their NPI record was last updated July 2025. The authorized official of this NPI record is Eric Van Houten Msw, Mba (Chief Executive Officer)

NPI
1427046903
Provider Name
SISKIYOU COMMUNITY HEALTH CENTER, INC
Entity Type
Organization
Location Address
1701 NW HAWTHORNE AVE GRANTS PASS, OR 97526
Location Phone
(541) 472-4777
Location Fax
(541) 471-1439
Mailing Address
1701 NW HAWTHORNE AVE GRANTS PASS, OR 97526
Mailing Phone
(541) 472-4777
Mailing Fax
(541) 471-1439
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-10-2005
Last Update Date
07-02-2025
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A primary care provider (PCP) like Siskiyou Community Health Center, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 25647 Redwood Hwy
    Cave Junction, OR 97523
    (541) 592-4111

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License No.
127725
License State
OR

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Delta Dental EPO - EPO
  • Delta Dental PPO - PPO
  • Delta Dental PPO MAC - PPO
  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERIC VAN HOUTEN MSW, MBA

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(541) 472-4777

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
127725MEDICAID (05)OR 

Reviews for SISKIYOU COMMUNITY HEALTH CENTER, INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427046903
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447041290
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 0 + 4 + 1 + 2 + 9 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1427046903 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740272285DR. KRISTIN MILLER M.D.
Individual
Family Medicine1701 NW HAWTHORNE AVE SUITE 201
GRANTS PASS, OR 97526
(541) 471-3455
1790777233MR. SCOTT SWINDELLS PA-C
Individual
Physician Assistant (Medical)1701 NW HAWTHORNE AVE SUITE 201
GRANTS PASS, OR 97526
(541) 471-3455
1376527424 JEFFERY WOOD M.S., P.T.
Individual
Physical Therapist1701 NW HAWTHORNE AVE #103
GRANTS PASS, OR 97526
(541) 476-2502
1568633584MR. DANIEL MCDONNELL MSN PMH-NP
Individual
Nurse Practitioner (Psychiatric/Mental Health)1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
(541) 417-3455
1811281082MRS. LEANNE S BURTON RPH
Individual
Pharmacist1701 NW HAWTHORNE AVE SUITE 101
GRANTS PASS, OR 97526
(541) 472-4747
1558778985 AMBER IHANDER PA-C
Individual
Physician Assistant (Medical)1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
(541) 472-4777
1457676165MS. JILL DENISE LARY RN, FNP-C
Individual
Nurse Practitioner (Family)1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
(541) 472-4771
1417326562SISKIYOU COMMUNITY HEALTH CENTER
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
(541) 471-3455
1609031426DR. KENNETH F CASTLE DDS
Individual
Dentist (General Practice)1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
(541) 479-6393
1518343102 JUSTIN ANDERSON DDS
Individual
Dentist1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
(541) 479-6489
1780034629 DEVIN NELSON DMD
Individual
Dentist1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
(541) 479-6393
1326345570 GABRIEL ENRIQUE MACIEL CNP
Individual
Nurse Practitioner (Family)1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
(541) 471-3455
1205045564 CHRISTIAN STEWART HOLLAND D.O.
Individual
Internal Medicine1701 NW HAWTHORNE AVE SISKIYOU COMMUNITY HEALTH CENTER
GRANTS PASS, OR 97526
(541) 472-4777
1063958924MS. AMY TRIPP
Individual
Dental Hygienist1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
(541) 479-6393
1922055490MRS. LAURA S ORNDOFF RPH
Individual
Pharmacist1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
(541) 472-4747
1063998730DR. DONALD RAY DRAPER DMD
Individual
Dentist (Dental Public Health)1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
(541) 479-6393
1619428208 CHRISTOPHER ROBERT CIELINSKI
Individual
Physician Assistant (Medical)1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
(541) 471-3455
1982924692DR. LEONA O'KEEFE M.D.
Individual
Family Medicine1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
(541) 472-4777
1427563337 ANDREW MARTIN FNP-BC
Individual
Nurse Practitioner (Family)1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
(541) 471-3455
1558482133 JOE DUNN DMD
Individual
Dentist (Dental Public Health)1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
(541) 479-6393

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427046903, enumerated in the NPI registry as an "organization" on October 10, 2005

The provider is located at 1701 Nw Hawthorne Ave Grants Pass, Or 97526 and the phone number is (541) 472-4777

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: Delta Dental Plan of Oregon, Moda Health Plan,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 10, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.