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

NPI Status: Active since October 10, 2005

Contact Information

1701 NW HAWTHORNE AVE
GRANTS PASS, OR
ZIP 97526
Phone: (541) 472-4777
Fax: (541) 471-1439

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance

About SISKIYOU COMMUNITY HEALTH CENTER, INC

This page provides the complete NPI Profile along with additional information for Siskiyou Community Health Center, Inc, a primary care provider established in Grants Pass, Oregon operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1427046903 assigned on October 2005. The practitioner's primary taxonomy code is 261QF0400X with license number 127725 (OR). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Eric Van Houten Msw, Mba (Chief Executive Officer)

NPI
1427046903
Provider Name
SISKIYOU COMMUNITY HEALTH CENTER, INC
Entity Type
Organization
Location Address
1701 NW HAWTHORNE AVE GRANTS PASS, OR 97526
Location Phone
(541) 472-4777
Location Fax
(541) 471-1439
Mailing Address
1701 NW HAWTHORNE AVE GRANTS PASS, OR 97526
Mailing Phone
(541) 472-4777
Mailing Fax
(541) 471-1439
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-10-2005
Last Update Date
07-02-2025
Code Navigator

A primary care provider (PCP) like Siskiyou Community Health Center, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 25647 Redwood Hwy
    Cave Junction, OR 97523
    (541) 592-4111

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License No.
127725
License State
OR

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERIC VAN HOUTEN MSW, MBA

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(541) 472-4777

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
127725MEDICAID (05)OR 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1427046903, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
2
Doubled → 4
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 4 + 7 + 0 + 4 + 1 + 2 + 9 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1427046903.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
1701 NW HAWTHORNE AVE, SUITE 201
GRANTS PASS, OR 97526
Physician Assistant (Medical)
1701 NW HAWTHORNE AVE, SUITE 201
GRANTS PASS, OR 97526
Physical Therapist
1701 NW HAWTHORNE AVE, #103
GRANTS PASS, OR 97526
Nurse Practitioner (Psychiatric/Mental Health)
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Pharmacist
1701 NW HAWTHORNE AVE, SUITE 101
GRANTS PASS, OR 97526
Physician Assistant (Medical)
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Nurse Practitioner (Family)
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Clinic/Center (Federally Qualified Health Center (FQHC))
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Dentist (General Practice)
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Dentist
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Dentist
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Internal Medicine
1701 NW HAWTHORNE AVE, SISKIYOU COMMUNITY HEALTH CENTER
GRANTS PASS, OR 97526
Dental Hygienist
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Pharmacist
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Dentist (Dental Public Health)
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Physician Assistant (Medical)
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Family Medicine
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Nurse Practitioner (Family)
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Dentist (Dental Public Health)
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Nurse Practitioner
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 97526

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427046903, enumerated as an "organization" on October 10, 2005.

The provider is located at 1701 NW HAWTHORNE AVE GRANTS PASS, OR 97526 and the phone number is (541) 472-4777.

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

The provider might be accepting Accepts: Moda Health Plan, Inc., UnitedHealthcare, Medicare. Please consult your insurance carrier or call the provider to verify.