OPEN DOOR COMMUNITY HEALTH CENTERS; NPI #1306252051

Contact Information

OPEN DOOR COMMUNITY HEALTH CENTERS

3750 ROHNERVILLE ROAD
FORTUNA, CA 95540

Phone: 707-725-6101
Fax: 707-725-2978
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center
Obstetrics & Gynecology	207V00000X	16	Physician/Obstetrics & Gynecology

Indicates primary specialty

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NPI Profile & details for OPEN DOOR COMMUNITY HEALTH CENTERS

NPI #	`1306252051`
LBN Legal business name	OPEN DOOR COMMUNITY HEALTH CENTERS
Authorized official	VICTOR STARR - (PRESIDENT/CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/02/2014
Last updated	06/07/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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