SILETZ COMMUNITY HEALTH CLINIC
NPI 1316040249
Clinic/Center - Federally Qualified Health Center (FQHC) in Siletz, OR

Active since September 06, 2006
200 GWEE-SHUT RD, SILETZ, OR 97380(541) 444-1030(541) 444-9695 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 21, 2022, Nov 10, 2020, Dec 21, 2017 and 1 more (4 updates tracked since 2017).

About Siletz Community Health Clinic NPPES

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

SILETZ COMMUNITY HEALTH CLINIC (NPI 1316040249) is a healthcare organization registered as a federally qualified health center (fqhc) in Siletz, Oregon and active in the NPI registry since September 2006. The organization lists Miranda Williams, Health Director, as its authorized official.

NPPES Registry Identity

NPI1316040249
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCONFEDERATED TRIBES OF SILETZ
Location Address200 GWEE-SHUT RDSiletz, OR 97380-2036
Mailing AddressPo Box 320Siletz, OR 97380-0320 · (541) 444-1030 · Fax (541) 444-9695
Fax(541) 444-9695
Organization SubpartNo
Authorized OfficialMiranda WilliamsHealth Director · (541) 444-1030
Enumeration DateSeptember 6, 2006
Last NPPES UpdateSeptember 21, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
NPI 1316040249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License Licensed in OR · 169841
Also ListedCase ManagementTaxonomy 251B00000X
200 GWEE-SHUT RD, Siletz, OR 97380

Other Names 1

Doing Business AsSiletz Community Health Clinic

Other Identifiers 1

Medicaid169841OR

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Counselor (Addiction (Substance Use Disorder))
200 GWEE-SHUT RD
SILETZ, OR 97380
Optometrist
200 GWEE-SHUT RD, OPTOMETRY
SILETZ, OR 97380

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316040249, enumerated as an "organization" on September 06, 2006.

The provider is located at 200 GWEE-SHUT RD SILETZ, OR 97380 and the phone number is (541) 444-1030.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.