Northcountry Clinic
LBN: Open Door Community Health Centers
Northcountry Clinic is an health care organization with primary practice located at 785 18Th Street , Arcata CA 95521. 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) 822-2481, or through Starr, Victor A via phone (707) 826-8633.
Contact Information
Primary practice address
785 18Th Street
Arcata CA 95521
Phone: (707) 822-2481
Fax: (707) 822-3656
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | ||
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
NPI number | 1689778813 |
---|---|
LBN Legal business name | Open Door Community Health Centers |
DBA Doing business as | Northcountry Clinic |
Authorized official | Starr, Victor A |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 8th, 2006 |
Last updated | Jun 7th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689778813 | NPPES |
California | MEDICAID | FHC03890G |
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