Siskiyou Hospital, Inc. is a renowned Dental office in Yreka, California. It is located at 444 Bruce St, Yreka, CA and its contact number is 530-842-4121. The authorized person for Siskiyou Hospital, Inc. is Mr. Jonathon C Andrus
who is Cheif Executive Officer of the place and their contact number is 530-841-6200. The primary license number for Siskiyou Hospital, Inc. is 230000035 (Critical Access) in California.
Siskiyou Hospital, Inc. Office is a healthcare facility where dedicated dental team composed of licensed professionals, including dentists (DDS or DMD), dental hygienists, dental assistants, and administrative staff (manage appointments, billing, and patient records) provides preventive, diagnostic, and therapeutic oral health services like oral exams and X-rays, fillings, fluoride treatments, teeth cleanings, implants, crowns, bridges, tooth extractions, root canals, and cosmetic procedures such as teeth whitening, braces and veneers to patients through outpatient care.
Complete Profile:
Siskiyou Hospital, Inc. Office speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Siskiyou Hospital, Inc. |
| Specialization: | Dentistry |
| Address: | 444 Bruce St, Yreka,
California, 96097-3450 |
| Phone: | 530-842-4121 |
| Fax: | 530-841-6242 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this Office are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Jonathon C Andrus |
| Position: | Cheif Executive Officer |
| Contact Number: | 530-841-6200 |
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 Hospital, Inc. Office are as mentioned below.
| NPI Number: | 1093892275 |
| NPI Enumeration Date: | 01 Nov, 2006 |
| NPI Last Update On: | 14 Dec, 2015 |
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 Hospital, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Critical Access | 230000035 | California | Primary | |
| Dental | 230000035 | California | Secondary | |
| Rural Health | 230000035 | California | Secondary | |
| Medicare Defined Swing Bed Unit | 230000035 | California | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the Office such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| HSP40217F | Medicaid | California | |
| 058634 | Medicaid | California | |
| ZZR00217F | Medicaid | California | |
| ZZZJ4702Z | Other | California | Blue Shield |
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 Hospital, Inc.
444 Bruce St,
Yreka, California |
| Zip: | 96097-3450 |
| Phone Number: | 530-842-4121 |
| Fax Number: | 530-841-6242 |
Patients can reach Siskiyou Hospital, Inc. at
444 Bruce St, Yreka, California or can
call to book an appointment on 530-842-4121.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.