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Organization

OPEN DOOR HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER L BECKIUS (CFO)
(507) 344-5507
Entity
Organization

Contact information

Practice address
309 HOLLY LN, MANKATO, MN 56001-5422
(507) 388-2120
(507) 388-3924
Mailing address
309 HOLLY LN, MANKATO, MN 56001-5422
(507) 388-2120
(507) 388-3924

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201094100
MN
Enumeration date
05/24/2006
Last updated
07/08/2024
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