NPIMap

Organization Active NPI

Siskiyou Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Cave Junction, OR
National Provider Identifier
1740428127
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
127725 Issued in OR
Legal business name
SISKIYOU COMMUNITY HEALTH CENTER INC
Practice address
101 S Junction Ave
Cave Junction, OR 97523-9006
Phone
(541) 592-4111
Fax
(541) 592-3916
NPI assigned
Jan 23, 2009
Last updated
Jul 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SISKIYOU COMMUNITY HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric Van Houten, MSW, MBA
Title
Ceo
Phone
(541) 472-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 127725 OR Primary

Addresses

Primary practice location

101 S Junction Ave
Cave Junction, OR 97523-9006

Mailing address

1701 NW Hawthorne Ave
Grants Pass, OR 97526-1051
Phone (541) 472-4777

Other identifiers 1

IdentifierTypeStateIssuer
127725MedicaidOR

Other names 1

  • Lorna Byrne Middle School SBHC Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2075157Lorna Byrne Middle School Student Health Ctr101 S Junction Ave, Cave Junction, OR 97523Certificate of waiverMar 23, 2028

National Provider Directory

National Provider Directory
Tax ID family
Siskiyou Community Heal13 organizations share this tax ID, including this one
Part of
Siskiyou Community Heal

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1740428127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 NW HAWTHORNE AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261051",
            "telephone_number": "541-472-4777",
            "fax_number": "541-471-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S JUNCTION AVE",
            "city": "CAVE JUNCTION",
            "state": "OR",
            "postal_code": "975239006",
            "telephone_number": "541-592-4111",
            "fax_number": "541-592-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISKIYOU COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SISKIYOU COMMUNITY HEALTH CENTER INC",
        "enumeration_date": "2009-01-23",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "VAN HOUTEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-472-4777",
        "authorized_official_credential": "MSW, MBA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "OR",
            "license": "127725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127725",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lorna Byrne Middle School SBHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cave Junction, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.