Organization
OPEN DOOR COMMUNITY HEALTH CENTERS
Active
Parent organization
OPEN DOOR COMMUNITY HEALTH CENTERS
Other names
Samoa Peninsula Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPEN DOOR COMMUNITY HEALTH CENTERS
Authorized official
STACY WATKINS (VICE PRESIDENT OF ADMINISTRATION)
(707) 826-8633
Entity
Organization
Contact information
Practice address
26 SAMOA COAST LN, SAMOA, CA 95564-9535
(707) 443-4666
Mailing address
1275 8TH ST, ARCATA, CA 95521-5770
(707) 826-8633
(707) 826-8638
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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