National Provider Identifier Database

SISKIYOU HOSPITAL INC
Rural Health


Contact Information

SISKIYOU HOSPITAL INC
8 COMMERCIAL STREET
ETNA, CA96027
Phone: 530-467-5393
Fax: 530-467-5355
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for SISKIYOU HOSPITAL INC

NPI Number 1336330646
Legal business name
LBN
SISKIYOU HOSPITAL INC
Authorized official JONATHON ANDRUS - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 08/05/2007
Last updated 12/26/2019 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 230000035
  • CA Medicaid: BCP18517F
  • CA Medicaid: RHM18517F

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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