Open Door Community Health Centers, NPI 1881873958
Federally Qualified Health Center (FQHC) in Arcata, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1881873958
NPI Entity Type Organization
Provider Name Open Door Community Health Centers
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 670 9th St, Suite 203, Arcata, CA, US
Provider Mailing Address 670 9th St, Suite 203, Arcata, CA, US, 955216248
Is Sole Proprietor? No
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Organization Official

Official Name Cheyenne Spetzler
Official Position COO
Phone 707-826-8633

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

261QF0400X

Taxonomy Name Federally Qualified Health Center (FQHC)
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description Definition to come...

Business Address

Open Door Community Health Centers
670 9th St
Suite 203

Arcata, CA, US

Phone: 707-826-8633
Fax: 707-826-8638

Mailing Address

Open Door Community Health Centers
670 9th St
Suite 203
Arcata, CA, US
ZIP 955216248
Phone: 707-826-8633
Fax: 707-826-8638

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207VX0000X

Allopathic & Osteopathic Physicians

Obstetrics & Gynecology

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
05-1942 CA MEDICARE PART A 01
FHC70779F CA MEDICAID 05
ZZZ75686Z CA MEDICARE PART B 01
05-1940 CA MEDICARE PART A 01
05-1941 CA MEDICARE PART A 01
FHC03919F CA MEDICAID 05
FHC71103F CA MEDICAID 05
55-1818 CA MEDICARE PART A 01
FHC03890G CA MEDICAID 05
FHC03892F CA MEDICAID 05
ZZZ21581Z CA MEDICARE PART B 01
ZZZ27933Z CA MEDICARE PART B 01
FHC03920F CA MEDICAID 05
05-1055 CA MEDICARE PART A 01
55-1916 CA MEDICARE PART A 01
FHC70970F CA MEDICAID 05
55-1917 CA MEDICARE PART A 01
FHC70869F CA MEDICAID 05
ZZZ29825Z CA MEDICARE PART B 01
ZZZ36797Z CA MEDICARE PART B 01

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