OPEN DOOR COMMUNITY HEALTH CENTERS (NPI# 1851486989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851486989 |
| Entity Type | Organization |
| Organization Name | OPEN DOOR COMMUNITY HEALTH CENTERS |
| Other Organization Name | BURRE DENTAL CENTER |
| Practice Address |
959 Myrtle Avenue Eureka CA 95501 |
| Mailing Address |
670 Ninth Street Suite 203 Arcata CA 95521 |
| Practice Telephone | 7074427078 |
| Practice Fax Number | 7074427298 |
| Mailing Telephone | 7078268633 |
| Mailing Fax Number | 7078268638 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHEYENNE SPETZLER (CHIEF OPERATIONS OFFICER) |
| 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) |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC70970F | 05 |
| Other Name | Type Code |
|---|---|
| Burre Dental 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 |
| 1598178915 | Open Door Community Health Centers | Obstetrics & Gynecology | 638 Main Street, Ferndale, CA 95536 | 2014-06-03 |
| 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 |
959 MYRTLE AVENUE |
| City | EUREKA |
| State | CA |
| Zip Code | 95501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578657110 | Carter Randolph Wright | Dentist | 959 Myrtle Avenue, Eureka, CA 95501 | 2006-10-03 |
| 1215200357 | Leyla Rahimi | Dentist | 959 Myrtle Avenue, Eureka, CA 95501 | 2012-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
| 1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
| 1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
| 1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
| 1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
| 1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
| 1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
| 1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
| 1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
| 1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
| Find all providers in zip 95501 | ||||
| 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 |
|---|---|---|---|---|
| 1831713452 | Open Door Community Health Centers | Clinic/Center | 622 H St, Eureka, CA 95501-1026 | 2020-05-29 |
| 1568759249 | Lincoln County Community Health Center | Clinic/Center | 100 Dewey Ave, Eureka, MT 59917 | 2011-07-01 |
| 1417474966 | Open Door Community Health Centers | Clinic/Center | 2350 Buhne St, Eureka, CA 95501 | 2017-08-25 |
| 1538580279 | Flint Hills Community Health Center Inc | Clinic/Center | 1602 N Elm St, Eureka, KS 67045-1090 | 2013-12-24 |
| 1396823282 | Nevada Health Centers Inc | Clinic/Center | 250 S. Main Street, Box 347, Eureka, NV 89316 | 2006-11-01 |
| 1669569109 | Open Door Community Health Centers | Clinic/Center | 2200 Tydd St, Eureka, CA 95501-1284 | 2006-10-06 |
| 1336173020 | Open Door Community Health Centers | Clinic/Center | 2426 Buhne St, Eureka, CA 95501-3207 | 2006-07-10 |
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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.