Siskiyou Community Health Center, Inc
Clinic Pharmacy
1701 Nw Hawthorne Ave, Grants Pass
Oregon, 97526-1051
541-472-4777 541-471-3665
Siskiyou Community Health Center, Inc is a Clinic Pharmacy in Grants Pass, Oregon. This organization is also known as sub part of Siskiyou Community Health Center Inc. It is located at 1701 Nw Hawthorne Ave, Grants Pass and it's customer support contact number is 541-472-4777. The authorized person of Siskiyou Community Health Center, Inc is Eric Van Houten, MSW, MBA who is Ceo of the pharmacy and his contact number is 541-472-4777. Active license number of Siskiyou Community Health Center, Inc is RP0002572CS for Clinic Pharmacy in Oregon.
Siskiyou Community Health Center, Inc is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
Siskiyou Community Health Center, Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Siskiyou Community Health Center, Inc |
| Type: | Clinic Pharmacy |
| Location: | 1701 Nw Hawthorne Ave, Grants Pass,
Oregon, 97526-1051 |
| Phone: | 541-472-4777 |
| Fax: | 541-471-3665 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Eric Van Houten |
| Credentials: | MSW, MBA |
| Position: | Ceo |
| Contact Number: | 541-472-4777 |
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 of given pharmacy are as mentioned below.
| NPI Number: | 1831425164 |
| Parent Organization: | Siskiyou Community Health Center Inc |
| NPI Enumeration Date: | 21 Oct, 2009 |
| NPI Last Update On: | 30 Jun, 2026 |
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 | |
| Clinic Pharmacy | RP0002572CS | Oregon | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 127725 | Medicaid | Oregon | |
| 500614374 | Medicaid | Oregon | |
| 2122472 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1701 Nw Hawthorne Ave,
Grants Pass, Oregon |
| Zip: | 97526-1051 |
| Phone Number: | 541-472-4777 |
| Fax Number: | 541-471-1439 |
Patients can reach Siskiyou Community Health Center, Inc at
1701 Nw Hawthorne Ave, Grants Pass, Oregon or can
call on customer care at 541-472-4777.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.