Organization
OPEN DOOR COMMUNITY HEALTH CENTERS
Active
Other names
Burre Mobile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR 'TORY' STARR (PRESIDENT/EXECUTIVE OFFICER)
(707) 826-8633
Entity
Organization
Contact information
Practice address
959 MYRTLE AVE, EUREKA, CA 95501-1219
(707) 442-7078
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
07/11/2023
Last updated
07/11/2023
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