Organization
OPEN DOOR COMMUNITY HEALTH CENTERS
Active
Other names
Del Norte Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR STARR (PRESIDENT/CEO)
(707) 826-8633
Entity
Organization
Contact information
Practice address
550 E WASHINGTON BLVD, CRESCENT CITY, CA 95531-8342
(707) 465-6925
(707) 465-6070
Mailing address
1275 8TH ST, ARCATA, CA 95521-5770
(707) 826-8633
(707) 826-8638
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
010000215
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC03919F
—
CA
Enumeration date
10/04/2006
Last updated
06/07/2023
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