OPEN DOOR HEALTH CENTER NPI 1861736456

NPI Information

  • NPI: 1861736456
  • Provider Name: OPEN DOOR HEALTH CENTER
  • Classification: Family Medicine - 207QA0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • CLIA Number: 15D2058513
  • Address: 8466 W PAHS RD
    MICHIGAN CITY, IN
    ZIP 46360
  • Phone: (219) 873-2082

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NPI Details

OPEN DOOR HEALTH CENTER is an adolescent medicine family medicine in Michigan City, IN. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. OPEN DOOR HEALTH CENTER NPI is 1861736456. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8466 W PAHS RD
MICHIGAN CITY, IN
ZIP 46360-919
Phone: (219) 873-2082

The provider's authorized official is Deborah Briggs .
The authorized official title is Program Director and has the following contact phone number (219) 873-2082.

The CLIA number assigned to this NPI record is 15D2058513 - other - school based hlth ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2012 and was last updated on 11/20/2012.

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
1207QA0000XFamily MedicineAdolescent MedicineYes

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: 11/21/2025

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