Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Siskiyou Community Health Center, Inc

Organization Pharmacy · NPI 1831425164

Siskiyou Community Health Center, Inc is a Pharmacy in Grants Pass, Oregon. Licensed in Oregon. Registered with an NPI since 2009.

Licensed in
OR
In the registry since
2009
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1701 NW Hawthorne Ave
Grants Pass, OR 97526-1051
Phone: (541) 472-4777
Fax: (541) 471-3665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic Pharmacy (primary) Taxonomy 3336C0002X · Licence RP0002572CS (OR)
Pharmacy Taxonomy 333600000X

Record details

NPI number1831425164
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSiskiyou Community Health Center Inc
Authorized official Eric Van Houten — Ceo · (541) 472-4777
Other names Siskiyou Community Health Center Pharmacy; Siskiyou Community Health Center Pharmacy
NPI enumeratedOctober 21, 2009
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051

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