Organization
OPEN DOOR COMMUNITY HEALTH CENTERS
Active
Other names
Telehealth & Visiting Specialist Center
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR STARR (PRESIDENT/CEO)
(707) 826-8633
Entity
Organization
Contact information
Practice address
2426 BUHNE ST, EUREKA, CA 95501-3207
(707) 442-4038
(707) 442-4039
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
550000105
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC71103F
—
CA
Enumeration date
07/10/2006
Last updated
06/07/2023
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