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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SISKIYOU COMMUNITY HEALTH CENTER
NPI 1417326562
Clinic/Center - Federally Qualified Health Center (FQHC) in Grants Pass, OR

Active since September 18, 2015
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526(541) 471-3455 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Siskiyou Community Health Center NPPES

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

SISKIYOU COMMUNITY HEALTH CENTER (NPI 1417326562) is a healthcare organization registered as a federally qualified health center (fqhc) in Grants Pass, Oregon and active in the NPI registry since September 2015. The organization lists Eric Van Houten, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417326562
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSISKIYOU COMMUNITY HEALTH CENTER
Location Address1701 NW HAWTHORNE AVEGrants Pass, OR 97526-1051
Mailing Address1701 Nw Hawthorne AveGrants Pass, OR 97526-1051 · (541) 472-4777 · Fax (541) 471-1439
Phone(541) 471-3455
Organization SubpartYesParent: Siskiyou Community Health Center, Inc
Authorized OfficialEric Van HoutenCeo · (541) 472-4777
Enumeration DateSeptember 18, 2015
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1417326562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in OR · 127725
1701 NW HAWTHORNE AVE, Grants Pass, OR 97526
Open in Google Maps ↗

Other Identifiers 1

Medicaid127725OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Josephine County (541) 471-3455
DR. KEATON JAMES FLETCHER DO
Family Medicine
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Josephine County (541) 472-4777
MS. AMY TRIPP
Dental Hygienist
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Josephine County (541) 479-6393
DR. DONALD RAY DRAPER DMD
Dentist (Dental Public Health)
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Josephine County (541) 479-6393
LAURA ANDERSON DNP APRN-NP
Nurse Practitioner
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Josephine County (541) 472-4777
ANDRE LUIZ BEZERRA FNP
Nurse Practitioner
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Josephine County (541) 472-4777
MRS. KIMBERLY L WALLER PA-C
Physician Assistant
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Josephine County (541) 471-3455
SISKIYOU COMMUNITY HEALTH CENTER INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Josephine County (541) 472-4777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Siskiyou Community Health Center's NPI number?

The NPI number for Siskiyou Community Health Center is 1417326562. It was assigned to this organization in the NPPES registry on September 18, 2015.

Where is Siskiyou Community Health Center located?

Siskiyou Community Health Center is located at 1701 NW Hawthorne Ave, Grants Pass, OR 97526. The listed phone number is (541) 471-3455.

What is Siskiyou Community Health Center's specialty?

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

What insurance does Siskiyou Community Health Center accept?

Health plans from Providence Health Plan list Siskiyou Community Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Siskiyou Community Health Center was last updated on June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.