OPEN DOOR COMMUNITY HEALTH CENTERS (NPI# 1881873958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881873958 |
| Entity Type | Organization |
| Organization Name | OPEN DOOR COMMUNITY HEALTH CENTERS |
| Practice Address |
670 9th St Suite 203 Arcata CA 95521-6248 |
| Practice Telephone | 7078268633 |
| Practice Fax Number | 7078268638 |
| Mailing Telephone | 7078268633 |
| Mailing Fax Number | 7078268638 |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2017-06-16 |
| 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 | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PART A | 05-1941 | 01 |
| CA | MEDICARE PART B | ZZZ21581Z | 01 |
| CA | MEDICARE PART A | 05-1055 | 01 |
| CA | MEDICARE PART A | 05-1942 | 01 |
| CA | FHC03919F | 05 | |
| CA | FHC71103F | 05 | |
| CA | MEDICARE PART A | 05-1940 | 01 |
| CA | MEDICARE PART B | ZZZ36797Z | 01 |
| CA | FHC03890G | 05 | |
| CA | FHC03920F | 05 | |
| CA | FHC70970F | 05 | |
| CA | MEDICARE PART B | ZZZ27933Z | 01 |
| CA | FHC03892F | 05 | |
| CA | MEDICARE PART B | ZZZ29825Z | 01 |
| CA | MEDICARE PART B | ZZZ75686Z | 01 |
| CA | MEDICARE PART A | 55-1916 | 01 |
| CA | MEDICARE PART A | 55-1917 | 01 |
| CA | MEDICARE PART A | 55-1818 | 01 |
| CA | FHC70779F | 05 | |
| CA | FHC70869F | 05 |
| 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 |
| 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 |
| 1598178915 | Open Door Community Health Centers | Obstetrics & Gynecology | 638 Main Street, Ferndale, CA 95536 | 2014-06-03 |
| 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 |
670 9TH ST SUITE 203 |
| City | ARCATA |
| State | CA |
| Zip Code | 95521-6248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952858623 | Teresa Oliveri | Registered Nurse | 670 9th St, Suite 203, Arcata, CA 95521-6248 | 2016-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912553736 | Mcc Medical, LLC | Durable Medical Equipment & Medical Supplies | Mcc Medical, LLC, 1565 J Street, Arcata, CA 95521 | 2019-08-16 |
| 1376008599 | Nathan Klier | Behavior Technician | 901 Ost, Arcata, CA 95521 | 2019-02-01 |
| 1740753995 | Maria Sophia Stathos | Behavior Technician | 901 0 Street, Suite C, Arcata, CA 95521 | 2019-01-09 |
| 1639674146 | Choong Yuk Kim | Psychologist | 381 Bayside Rd Ste B, Arcata, CA 95521 | 2018-03-27 |
| 1194089805 | Gary Wilson Barsuaskas | Nurse Practitioner | 4677 Valley West Blvd., Arcata, CA 95521 | 2012-06-27 |
| 1265708424 | Alison Marie Palacios | Family Medicine | 3798 Janes Rd. Suite 10, Arcata, CA 95521 | 2012-03-31 |
| 1538434857 | Kristen Noell Kelley | Behavioral Analyst | 901 O Street, Suite C, Arcata, CA 95521 | 2012-03-20 |
| 1518241264 | Brian D. Lieberman | Psychologist | 730 Bayside Rd, Apt A, Arcata, CA 95521 | 2011-09-29 |
| 1427369412 | John S Yamas | Acupuncturist | 1460 G. Street, Arcata, CA 95521 | 2010-06-24 |
| 1669619391 | Kevin John Mcalerney | Massage Therapist | 770 11th Street, Lost Coast Healing Arts, Arcata, CA 95521 | 2009-01-16 |
| Find all providers in zip 95521 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689206252 | Open Door Community Health Centers | Clinic/Center | 3798 Janes Rd Ste 5, Arcata, CA 95521-4745 | 2020-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1821697483 | North East Medical Services | Clinic/Center | 2633 San Bruno Ave, San Francisco, CA 94134-1597 | 2020-10-23 |
| 1508465303 | Valley Health Team, Inc | Clinic/Center | 459 W Line St Ste C, Bishop, CA 93514-3333 | 2020-10-22 |
| 1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
| 1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
| 1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OPEN DOOR COMMUNITY HEALTH CENTERS.
| 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.