Provider Demographics
NPI:1710862347
Name:FIRST 5 SISKIYOU CHILDREN AND FAMILIES COMMISSION
Entity type:Organization
Organization Name:FIRST 5 SISKIYOU CHILDREN AND FAMILIES COMMISSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACTOR FIRST 5
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERANDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHNACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-905-0325
Mailing Address - Street 1:PO BOX 845
Mailing Address - Street 2:
Mailing Address - City:MOUNT SHASTA
Mailing Address - State:CA
Mailing Address - Zip Code:96067-0845
Mailing Address - Country:US
Mailing Address - Phone:530-918-7222
Mailing Address - Fax:
Practice Address - Street 1:310 N MOUNT SHASTA BLVD STE 3
Practice Address - Street 2:
Practice Address - City:MOUNT SHASTA
Practice Address - State:CA
Practice Address - Zip Code:96067-2352
Practice Address - Country:US
Practice Address - Phone:530-918-7222
Practice Address - Fax:800-230-3227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No172V00000XOther Service ProvidersCommunity Health Worker
No251S00000XAgenciesCommunity/Behavioral Health
No261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health