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

Active since October 10, 2005
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526(541) 472-4777(541) 471-1439 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 2, 2025, Sep 18, 2024, Oct 6, 2021 and 1 more (4 updates tracked since 2019).

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 1427046903) is a healthcare organization registered as a federally qualified health center (fqhc) in Grants Pass, Oregon and active in the NPI registry since October 2005. The organization maintains a secondary practice location in Cave Junction and lists Eric Van Houten, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1427046903
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) 472-4777 · Fax (541) 471-1439
Fax(541) 471-1439
Organization SubpartNo
Authorized OfficialEric Van HoutenChief Executive Officer · (541) 472-4777
Enumeration DateOctober 10, 2005
Last NPPES UpdateJuly 2, 20254 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1427046903 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

Secondary Practice Location 1

Location 125647 Redwood HwyCave Junction, OR 97523-9332 · Phone (541) 592-4111 · Fax (541) 592-3916

Other Identifiers 1

Medicaid127725OR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Siskiyou Community Health Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to Siskiyou Community Health Center, Inc, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 19 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner15
Family Practice6
Dentist4
Clinical Social Worker1
Internal Medicine1

Nearest to this location (20)

See all 27
Family Practice
NPI 1952343816
1701 NW HAWTHORNE AVE
Grants Pass, OR 97526
(541) 472-4777
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1407598220
1701 NW HAWTHORNE AVE
Grants Pass, OR 97526
(541) 472-4777
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1053042408
1701 NW HAWTHORNE AVE
Grants Pass, OR 97526
(541) 472-4777
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457676165
1701 NW HAWTHORNE AVE
Grants Pass, OR 97526
(541) 472-4771
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1568633584
1701 NW HAWTHORNE AVE
Grants Pass, OR 97526
(541) 417-3455
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1740272285
1701 NW HAWTHORNE AVE SUITE 201
Grants Pass, OR 97526
(541) 471-3455
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1093528655
1701 NW HAWTHORNE AVE
Grants Pass, OR 97526
(541) 472-4777
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1962071662
1701 NW HAWTHORNE AVE
Grants Pass, OR 97526
(541) 479-6393
✔ PECOSSame address
Dentist
NPI 1508048687
1701 NW HAWTHORNE AVE
Grants Pass, OR 97526
(541) 479-6393
✔ PECOSSame address
Dentist
NPI 1508081266
1701 NW HAWTHORNE AVE
Grants Pass, OR 97526
(541) 479-6393
✔ PECOSSame address
Nurse Practitioner
NPI 1225426273
1701 NW HAWTHORNE AVE
Grants Pass, OR 97526
(541) 472-4777
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609571181
1701 NW HAWTHORNE AVE
Grants Pass, OR 97526
(541) 472-4777
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1205045564
1701 NW HAWTHORNE AVE SISKIYOU COMMUNITY HEALTH CENTER
Grants Pass, OR 97526
(541) 472-4777
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427563337
1701 NW HAWTHORNE AVE
Grants Pass, OR 97526
(541) 471-3455
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316628860
1701 NW HAWTHORNE AVE
Grants Pass, OR 97526
(541) 471-3455
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1093110306
1701 NW HAWTHORNE AVE
Grants Pass, OR 97526
(541) 472-4777
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1396797759
1701 NW HAWTHORNE AVE
Grants Pass, OR 97526
(541) 472-4777
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033884275
1701 NW HAWTHORNE AVE
Grants Pass, OR 97526
(541) 471-3455
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1275081184
1701 NW HAWTHORNE AVE
Grants Pass, OR 97526
(541) 471-3455
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1588151567
25647 REDWOOD HWY
Cave Junction, OR 97523
(541) 500-8407
✔ PECOS25 mi
See all 27 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, Inc's NPI number?

The NPI number for Siskiyou Community Health Center, Inc is 1427046903. It was assigned to this organization in the NPPES registry on October 10, 2005.

Where is Siskiyou Community Health Center, Inc located?

Siskiyou Community Health Center, Inc is located at 1701 NW Hawthorne Ave, Grants Pass, OR 97526. The listed phone number is (541) 472-4777.

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.

Is Siskiyou Community Health Center, Inc enrolled in Medicare?

Yes. Siskiyou Community Health Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Siskiyou Community Health Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 5 Medicare specialties reassign their Medicare billing to Siskiyou Community Health Center, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (15), Family Practice (6) and Dentist (4). Of these, 17 practice at this address and 19 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Siskiyou Community Health Center, Inc accept?

Health plans from BridgeSpan Health Company, Delta Dental Plan of Oregon, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon and UnitedHealthcare list Siskiyou Community Health Center, Inc 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, Inc was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.