OPEN DOOR COMMUNITY HEALTH CENTERS (NPI# 1598858169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598858169 |
| Entity Type | Organization |
| Organization Name | OPEN DOOR COMMUNITY HEALTH CENTERS |
| Other Organization Name | MCKINLEYVILLE COMMUNITY HEALTH CENTER |
| Practice Address |
1644 Central Avenue Suite F Mckinleyville CA 95519 |
| Mailing Address |
670 9th St Suite 203 Arcata CA 95521-6248 |
| Practice Telephone | 7078393068 |
| Practice Fax Number | 7078393827 |
| Mailing Telephone | 7078268633 |
| Mailing Fax Number | 7078268638 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-09-04 |
| Authorized Official Name | CHEYENNE SPETZLER (COO) |
| Authorized Official Telephone | 7078268633 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
010000340 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC70779F | 05 |
| Other Name | Type Code |
|---|---|
| McKinleyville 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 |
| 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 |
1644 CENTRAL AVENUE SUITE F |
| City | MCKINLEYVILLE |
| State | CA |
| Zip Code | 95519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043307853 | Nathan Ransom Copple | Family Medicine | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-05 |
| 1083700710 | Reilley Mullin | Nurse Practitioner | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-04 |
| 1457444192 | Glorie Lorrie Williamson | Registered Nurse | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174555 | Humboldt County Behavioral Health | Community/Behavioral Health | 1615 Heartwood Drive, Mckinleyville, CA 95519 | 2020-04-30 |
| 1417518291 | Erika Adams | Dental Hygienist | 2050 Silkwood St, Mckinleyville, CA 95519 | 2019-06-24 |
| 1275808354 | Laurie Goldberg Sanders | Behavioral Analyst | 1116 Hayes Rd, Mckinleyville, CA 95519 | 2012-03-21 |
| 1295956381 | Ralph Leroy Davis | Dentist | 1661 Picket Ave, Mckinleyville, CA 95519 | 2007-05-02 |
| 1508887001 | Cindy Siemens | Counselor | 1660 Central Av, Ste I, Mckinleyville, CA 95519 | 2006-07-21 |
| 1134630148 | Yvonne Lynn Guido | Counselor | 1560 Betty Ct Ste A, Mckinleyville, CA 95519 | 2017-10-17 |
| 1558437608 | Carol Bryan | Registered Nurse | 1672 Church Ave, Mckinleyville, CA 95519-2504 | 2006-11-28 |
| 1184750705 | Nancy Dolores Borge-riis | Marriage & Family Therapist | 2770 Annie Ln, Mckinleyville, CA 95519-3301 | 2007-02-26 |
| 1407249964 | Margaret Jean Mahon | Nurse Practitioner | 2449 Bolier Ave, Mckinleyville, CA 95519-3306 | 2015-03-09 |
| 1952867897 | Aimee Louise Keiser | Occupational Therapist | 851 Hiller Rd, Mckinleyville, CA 95519-3341 | 2019-02-15 |
| Find all providers in zip 95519 | ||||
| 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 | ||||
| City | MCKINLEYVILLE |
| Zip Code | 95519 |
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.