| Open Door Community Health Centers | |
|
26 Samoa Coast Ln Samoa CA 95564-9535 | |
| (707) 443-4666 | |
| Not Available |
| Full Name | Open Door Community Health Centers |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 26 Samoa Coast Ln, Samoa, California |
| Authorized Official Name and Position | Stacy Watkins (VICE PRESIDENT OF ADMINISTRATION) |
| Authorized Official Contact | 7078268633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Door Community Health Centers 1275 8th St Arcata CA 95521-5770 Ph: (707) 826-8633 | Open Door Community Health Centers 26 Samoa Coast Ln Samoa CA 95564-9535 Ph: (707) 443-4666 |
| NPI Number | 1215693338 |
|---|---|
| Provider Enumeration Date | 11/12/2021 |
| Last Update Date | 11/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215693338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |