| Open Door Community Health Centers | |
|
2200 Tydd St Eureka CA 95501-1284 | |
| (707) 441-1624 | |
| (707) 441-1253 |
| Full Name | Open Door Community Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 2200 Tydd St, Eureka, California |
| Authorized Official Name and Position | Cheyenne Spetzler (COO) |
| Authorized Official Contact | 7078268633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Door Community Health Centers 670 Ninth Street Suite 203 Arcata CA 95521 Ph: (707) 826-8633 | Open Door Community Health Centers 2200 Tydd St Eureka CA 95501-1284 Ph: (707) 441-1624 |
| NPI Number | 1669569109 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 09/10/2013 |
| Medicare PECOS PAC ID | 9436067485 |
|---|---|
| Medicare Enrollment ID | O20040105000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669569109 | NPI | - | NPPES |
| FHC03920F | Medicaid | CA |
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