Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SISKIYOU COMMUNITY HEALTH CENTER INC
NPI 1205002136
Clinic/Center - Federally Qualified Health Center (FQHC) in Grants Pass, OR

Q: What is Siskiyou Community Health Center Inc's NPI number?

The NPI number for Siskiyou Community Health Center Inc is 1205002136. It was assigned to this organization in the NPPES registry on April 30, 2008. The provider is also known as Siskiyou Community Health Center Dental Facility.

Q: What is Siskiyou Community Health Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since April 30, 2008

1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526(541) 479-6393(541) 479-6489 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Siskiyou Community Health Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SISKIYOU COMMUNITY HEALTH CENTER INC (NPI 1205002136) is a healthcare organization registered as a federally qualified health center (fqhc) in Grants Pass, Oregon and active in the NPI registry since April 2008. The organization lists Eric Van Houten, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205002136

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSISKIYOU COMMUNITY HEALTH CENTER INC

Location Address1701 NW HAWTHORNE AVEGrants Pass, OR 97526-1051

Mailing Address1701 Nw Hawthorne AveGrants Pass, OR 97526-1051 · (541) 479-6393 · Fax (541) 472-4701

Phone(541) 479-6393

Fax(541) 479-6489

Organization SubpartNo

Authorized OfficialEric Van HoutenCeo · (541) 472-4777

Enumeration DateApril 30, 2008

Last NPPES UpdateJune 30, 2026

NPPES CertifiedJune 30, 2026

✔ NPI 1205002136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedDentist · General PracticeTaxonomy 1223G0001X

Also ListedDental HygienistTaxonomy 124Q00000X · License H3448 (OR)

1701 NW HAWTHORNE AVE, Grants Pass, OR 97526

Open in Google Maps ↗

Other Names 1

Other NameSiskiyou Community Health Center Dental Facility

Other Identifiers 1

Medicaid127725OR

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONA KAAHU PMHNP

Nurse Practitioner (Psychiatric/Mental Health)