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SISKIYOU COMMUNITY HEALTH CENTER, INC
NPI 1831425164
Pharmacy - Clinic Pharmacy in Grants Pass, OR

Active since October 21, 2009
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526(541) 472-4777(541) 471-3665 Get Directions Write a Review

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

Record update history: Oct 6, 2021, Mar 30, 2017, Mar 3, 2016 (3 updates tracked since 2016).

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 1831425164), doing business as Siskiyou Community Health Center Pharmacy, is a healthcare organization registered as a clinic pharmacy in Grants Pass, Oregon and active in the NPI registry since October 2009. The organization lists Eric Van Houten, Ceo, as its authorized official.

NPPES Registry Identity

NPI1831425164
Entity TypeOrganization
Primary Taxonomy3336C0002X
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
Phone(541) 472-4777
Fax(541) 471-3665
Organization SubpartYesParent: Siskiyou Community Health Center Inc
Authorized OfficialEric Van HoutenCeo · (541) 472-4777
Enumeration DateOctober 21, 2009
Last NPPES UpdateJune 30, 20263 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1831425164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in OR · RP0002572CS
Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Also ListedPharmacyTaxonomy 333600000X
1701 NW HAWTHORNE AVE, Grants Pass, OR 97526
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Other Names 1

Doing Business AsSiskiyou Community Health Center Pharmacy

Other Identifiers 3

Medicaid127725OR
Medicaid500614374OR
Other2122472Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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, Inc's NPI number?

The NPI number for Siskiyou Community Health Center, Inc is 1831425164. It was assigned to this organization in the NPPES registry on October 21, 2009. The provider is doing business as Siskiyou Community Health Center Pharmacy.

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 Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

What insurance does Siskiyou Community Health Center, Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 44 other insurers 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 June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.