Humboldt Open Door Clinic

LBN: Open Door Community Health Centers
Humboldt Open Door Clinic is an health care organization with primary practice located at 1150 Foster Ave , Arcata CA 95521-5986. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Open Door Community Health Centers can be contacted via phone (707) 826-8610, or through Starr, Victor via phone (707) 826-8633.

Contact Information

Primary practice address
1150 Foster Ave Arcata CA 95521-5986
Fax: (707) 826-8623
Website:
Authorized official contact:
Name: Starr, Victor

Profile Details

NPI number 1255435533
LBN Legal business name Open Door Community Health Centers
DBA Doing business as Humboldt Open Door Clinic
Authorized official Starr, Victor
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2006
Last updated Apr 29th, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255435533 NPPES
California MEDICAID FHC03892F

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