Organization
OPEN DOOR COMMUNITY HEALTH CENTERS
Active
Other names
Burre Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR A STARR (PRESIDENT/CEO)
(707) 826-8633
Entity
Organization
Contact information
Practice address
959 MYRTLE AVENUE, EUREKA, CA 95501
(707) 442-7078
(707) 442-7298
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
110000502
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70970F
—
CA
Enumeration date
10/04/2006
Last updated
06/07/2023
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