Siskiyou Community Health Center Inc
Dental Clinic
1701 Nw Hawthorne Ave, Grants Pass
Oregon, 97526-1051
541-479-6393 541-479-6489
Maps & DirectionsSiskiyou Community Health Center Inc is a Dental Clinic in Grants Pass, Oregon. It is located at 1701 Nw Hawthorne Ave, Grants Pass, OR and its contact number is 541-479-6393. The authorized person for Siskiyou Community Health Center Inc is Richard Booth
who is Ceo of the clinic and their contact number is 541-471-3455.
Siskiyou Community Health Center Inc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Siskiyou Community Health Center Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Siskiyou Community Health Center Inc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1701 Nw Hawthorne Ave, Grants Pass,
Oregon, 97526-1051 |
| Phone: | 541-479-6393 |
| Fax: | 541-479-6489 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Richard Booth |
| Position: | Ceo |
| Contact Number: | 541-471-3455 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Siskiyou Community Health Center Inc clinic are as mentioned below.
| NPI Number: | 1205002136 |
| NPI Enumeration Date: | 30 Apr, 2008 |
| NPI Last Update On: | 06 Oct, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Siskiyou Community Health Center Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Federally Qualified Health Center (FQHC) | | | Primary | |
| General Practice | | | Secondary | |
| Dental Hygienist | H3448 | Oregon | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Siskiyou Community Health Center Inc
1701 Nw Hawthorne Ave,
Grants Pass, Oregon |
| Zip: | 97526-1051 |
| Phone Number: | 541-479-6393 |
| Fax Number: | 541-471-2024 |
Patients can reach Siskiyou Community Health Center Inc at
1701 Nw Hawthorne Ave, Grants Pass, Oregon or can
call to book an appointment on 541-479-6393.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.