OPEN DOOR COMMUNITY HEALTH CENTERS (NPI# 1598178915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598178915 |
Entity Type | Organization |
Organization Name | OPEN DOOR COMMUNITY HEALTH CENTERS |
Other Organization Name | FERNDALE COMMUNITY HEALTH CENTER |
Practice Address |
638 Main Street Ferndale CA 95536 |
Mailing Address |
670 9th St Suite 203 Arcata CA 95521-6248 |
Practice Telephone | 7077864028 |
Practice Fax Number | 7077869029 |
Mailing Telephone | 7078268633 |
Mailing Fax Number | 7078268638 |
Enumeration Date | 2014-06-03 |
Last Update Date | 2015-01-22 |
Authorized Official Name | CHEYENNE SPETZLER (COO) |
Authorized Official Telephone | 7078268633 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Ferndale Community Health Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831713452 | Open Door Community Health Centers | Clinic/Center | 622 H St, Eureka, CA 95501-1026 | 2020-05-29 |
1922318047 | Open Door Community Health Centers | Obstetrics & Gynecology | 3800 Janes Rd Ste 101, Arcata, CA 95521-4742 | 2010-10-08 |
1881873958 | Open Door Community Health Centers | Obstetrics & Gynecology | 670 9th St, Suite 203, Arcata, CA 95521-6248 | 2007-10-25 |
1598858169 | Open Door Community Health Centers | Clinic/Center | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-02 |
1255435533 | Open Door Community Health Centers | Obstetrics & Gynecology | 770 10th Street, Arcata, CA 95521 | 2006-09-08 |
1689778813 | Open Door Community Health Centers | Obstetrics & Gynecology | 785 18th Street, Arcata, CA 95521 | 2006-09-08 |
1689206252 | Open Door Community Health Centers | Clinic/Center | 3798 Janes Rd Ste 5, Arcata, CA 95521-4745 | 2020-02-11 |
1417474966 | Open Door Community Health Centers | Clinic/Center | 2350 Buhne St, Eureka, CA 95501 | 2017-08-25 |
1306252051 | Open Door Community Health Centers | Obstetrics & Gynecology | 3750 Rohnerville Road, Fortuna, CA 95540 | 2014-07-02 |
1730330739 | Open Door Community Health Centers | Obstetrics & Gynecology | 38883 Highway 299, Willow Creek, CA 95573-0726 | 2008-10-08 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | OPEN DOOR COMMUNITY HEALTH CENTERS | 670 9th St, Ste 203, Arcata, CA 95521-6249 |
Street Address |
638 MAIN STREET |
City | FERNDALE |
State | CA |
Zip Code | 95536 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952396103 | Tamara Smith Dennis | Family Medicine | 638 Main Street, Ferndale, CA 95536-1157 | 2005-09-14 |
1093288649 | Jennifer Mathney | Registered Nurse | 638 Main Street, Ferndale, CA 95536-1157 | 2019-01-07 |
1669909271 | Robbin Lynn Samuelson | Registered Nurse | 638 Main Street, Ferndale, CA 95536 | 2017-05-12 |
1316485006 | Evan M. Chalfin | Nurse Practitioner | 638 Main Street, Ferndale, CA 95536-1157 | 2017-02-02 |
1346624533 | Christine Ross | Registered Nurse | 638 Main Street, Ferndale, CA 95536 | 2015-07-17 |
1174907836 | Rebecca Brennan | Registered Nurse | 638 Main Street, Ferndale, CA 95536 | 2015-07-13 |
1568857654 | Shawna Owsley | Registered Nurse | 638 Main Street, Ferndale, CA 95536 | 2015-04-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356991194 | Jacklyn Ruth Perlenfein | Technician | 1148 Main Street, Ferndale, CA 95536 | 2019-09-13 |
1194171330 | Stuart Altschuler | Marriage & Family Therapist | 483 A St., Ferndale, CA 95536 | 2016-05-06 |
1265553143 | Humboldt Medical Group, Inc | Family Medicine | 528 Washington Street, Ferndale, CA 95536 | 2007-04-02 |
1194885129 | Rings Pharmacy | Durable Medical Equipment & Medical Supplies | 362 Main St, Ferndale, CA 95536-0577 | 2006-12-11 |
1285854604 | Lawrence Adrian Denning | Dentist | 460 Ocean Avenue, Ferndale, CA 95536-0700 | 2007-04-26 |
1285601120 | Christopher Rigney Cabrera | Optometrist | 455 Ocean Avenue, Ferndale, CA 95536-0881 | 2006-02-28 |
1548366388 | George Carl Wilson Jr. | Chiropractor | 1025 Dewey Ave #974, Ferndale, CA 95536-0974 | 2006-09-16 |
1649394602 | Sonya May Friedman | Counselor | 1071 Main St, Ferndale, CA 95536-1157 | 2007-03-16 |
1508214776 | Jodi Grinsell | Specialist/Technologist | 1613 Centerville Rd, Ferndale, CA 95536-9503 | 2016-05-29 |
1033380696 | Colleen Marie Hough | Dietitian, Registered | 922 Weymouth Bluff Rd, Ferndale, CA 95536-9573 | 2008-03-21 |
Find all providers in zip 95536 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.