Organization
OPEN DOOR COMMUNITY HEALTH CENTERS
Active
Other names
Northcountry Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR A STARR (PRESIDENT/ CEO)
(707) 826-8633
Entity
Organization
Contact information
Practice address
785 18TH STREET, ARCATA, CA 95521
(707) 822-2481
(707) 822-3656
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC03890G
—
CA
Enumeration date
09/08/2006
Last updated
06/07/2023
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