Organization
OPEN DOOR COMMUNITY HEALTH CENTERS
Active
Parent organization
OPEN DOOR COMMUNITY HEALTH CENTERS
Other names
Willow Creek Community Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPEN DOOR COMMUNITY HEALTH CENTERS
Authorized official
CHEYENNE SPETZLER (COO)
(707) 826-8633
Entity
Organization
Contact information
Practice address
38883 HIGHWAY 299, WILLOW CREEK, CA 95573-0726
(530) 629-3111
(530) 629-3122
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
—
1730330739
—
CA
Enumeration date
10/08/2008
Last updated
06/07/2023
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