Siskiyou Community Health Center Inc in Grants Pass - General Practice
Siskiyou Community Health Center Inc - NPI 1205002136
Siskiyou Community Health Center Inc is a General Practice in Grants Pass, Oregon. Siskiyou Community Health Center Inc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Siskiyou Community Health Center Inc is 1205002136. The last update date is 2021-10-06.
Siskiyou Community Health Center Inc's current location address is 1701 Nw Hawthorne Ave, Grants Pass, Oregon. You can contact this provider via phone number 5414796393 and fax number 5414712024. The mailing address for Siskiyou Community Health Center Inc is 1701 Nw Hawthorne Ave, Grants Pass, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Siskiyou Community Health Center Inc |
|---|---|
| Address | 1701 Nw Hawthorne Ave, Grants Pass, Oregon |
| Phone Number | 5414796393 |
| Fax Number | 5414712024 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Booth Richard |
| Telephone Number | 5414713455 |
NPI Number Detail
| NPI Number | 1205002136 |
|---|---|
| Provider Enumeration Date | 2008-04-30 |
| Last Updated Date | 2021-10-06 |
Provider Mailing Address Detail
| Address | 1701 Nw Hawthorne Ave |
|---|---|
| City | Grants Pass |
| State | Oregon (OR) |
| Post Code | 975261051 |
| Phone Number | 5414796393 |
| Fax Number | 5414712024 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Siskiyou Community Health Center Inc by the Centers for Medicare & Medicaid Services?
The Siskiyou Community Health Center Inc has been assigned the NPI (National Provider Identifier) 1205002136. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Siskiyou Community Health Center Inc?
The Siskiyou Community Health Center Inc is physically situated at 1701 Nw Hawthorne Ave, in the city of Grants Pass, state of OR, with the postal code 975261051.
What is the Siskiyou Community Health Center Inc's specialty and taxonomy code?
The Siskiyou Community Health Center Inc's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Siskiyou Community Health Center Inc receive the assignment of its 1205002136 from the Centers for Medicare & Medicaid Services?
The Siskiyou Community Health Center Inc was issued its 1205002136 by the Centers for Medicare & Medicaid Services on 2008-04-30.
As of what date was the information regarding Siskiyou Community Health Center Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Siskiyou Community Health Center Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-10-06.
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