Organization
OPEN DOOR COMMUNITY HEALTH CENTERS
Active
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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