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 |
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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 |
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