OPEN DOOR COMMUNITY HEALTH CENTERS (NPI# 1689206252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689206252 |
| Entity Type | Organization |
| Organization Name | OPEN DOOR COMMUNITY HEALTH CENTERS |
| Practice Address |
3798 Janes Rd Ste 5 Arcata CA 95521-4745 |
| Mailing Address |
670 9th St Ste 203 Arcata CA 95521-6249 |
| Practice Telephone | 7078257588 |
| Mailing Telephone | 7078268633 |
| Mailing Fax Number | 7078268638 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | STACY WATKINS (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 7078268633 |
| Is Organization Subpart | Y |
| Parent Organization Name | OPEN DOOR COMMUNITY HEALTH CENTERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Open Door Women's 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 |
| 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 |
3798 JANES RD STE 5 |
| City | ARCATA |
| State | CA |
| Zip Code | 95521-4745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851331946 | Kim Suzanne Ervin | Obstetrics & Gynecology | 3798 Janes Rd Ste 5, Arcata, CA 95521-4745 | 2006-06-07 |
| 1588159776 | Amy Van Loon | Advanced Practice Midwife | 3798 Janes Rd Ste 5, Arcata, CA 95521-4745 | 2018-06-29 |
| 1942542816 | Emma Hackett | Obstetrics & Gynecology | 3798 Janes Rd Ste 5, Arcata, CA 95521-4745 | 2013-03-19 |
| 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... |
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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.