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OPEN DOOR COMMUNITY HEALTH CENTERS NPI 1881873958


NPI Information

NPI: 1881873958
Provider Name: OPEN DOOR COMMUNITY HEALTH CENTERS
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1275 8TH ST
ARCATA, CA
ZIP 95521
Phone: (707) 826-8633
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OPEN DOOR COMMUNITY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Arcata, CA. OPEN DOOR COMMUNITY HEALTH CENTERS NPI is 1881873958. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1275 8TH ST
ARCATA, CA
ZIP 95521-770
Phone: (707) 826-8633
Fax: (707) 826-8638

The provider's authorized official is Victor Starr .
The authorized official title is President/ceo and has the following contact phone number (707) 826-8633.

The enumeration date for this NPI number is 10/25/2007 and was last updated on 6/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VX0000XObstetrics & GynecologyObstetricsNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1FHC03892FMEDICAIDCALIFORNIA
2FHC03920FMEDICAIDCALIFORNIA
3ZZZ36797ZOTHERCALIFORNIAMEDICARE PART B
455-1916OTHERCALIFORNIAMEDICARE PART A
5FHC71103FMEDICAIDCALIFORNIA
6ZZZ21581ZOTHERCALIFORNIAMEDICARE PART B
7ZZZ27933ZOTHERCALIFORNIAMEDICARE PART B
805-1055OTHERCALIFORNIAMEDICARE PART A
905-1941OTHERCALIFORNIAMEDICARE PART A
10FHC70970FMEDICAIDCALIFORNIA
11ZZZ75686ZOTHERCALIFORNIAMEDICARE PART B
1205-1940OTHERCALIFORNIAMEDICARE PART A
1355-1818OTHERCALIFORNIAMEDICARE PART A
14FHC03919FMEDICAIDCALIFORNIA
15FHC70779FMEDICAIDCALIFORNIA
16ZZZ29825ZOTHERCALIFORNIAMEDICARE PART B
1755-1917OTHERCALIFORNIAMEDICARE PART A
18FHC70869FMEDICAIDCALIFORNIA
1905-1942OTHERCALIFORNIAMEDICARE PART A
20FHC03890GMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.