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OPEN DOOR COMMUNITY HEALTH CENTERS
NPI 1053151811
Clinic/Center - Federally Qualified Health Center (FQHC) in Crescent City, CA

Active since May 29, 2024
550 E WASHINGTON BLVD STE 100, CRESCENT CITY, CA 95531(707) 465-6925 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Open Door Community Health Centers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPEN DOOR COMMUNITY HEALTH CENTERS (NPI 1053151811), doing business as Del Norte Mobile Health Services, is a healthcare organization registered as a federally qualified health center (fqhc) in Crescent City, California and active in the NPI registry since May 2024. The organization lists Stacy Watkins, Vice President Of Administration, as its authorized official.

NPPES Registry Identity

NPI1053151811
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameOPEN DOOR COMMUNITY HEALTH CENTERS
Location Address550 E WASHINGTON BLVD STE 100Crescent City, CA 95531-8161
Mailing Address1275 8th StArcata, CA 95521-5770 · (707) 826-8633
Phone(707) 465-6925
Organization SubpartNo
Authorized OfficialStacy WatkinsVice President Of Administration · (707) 826-8633
Enumeration DateMay 29, 2024
NPPES CertifiedMay 29, 2024
✔ NPI 1053151811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
550 E WASHINGTON BLVD STE 100, Crescent City, CA 95531
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Other Names 1

Doing Business AsDel Norte Mobile Health Services

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA STANTON DURAZO RN
Registered Nurse
550 E WASHINGTON BLVD STE 100
CRESCENT CITY, CA 95531
Del Norte County (707) 465-6925
SAMANTHA L. TITUS RN
Registered Nurse
550 E WASHINGTON BLVD STE 100
CRESCENT CITY, CA 95531
Del Norte County (707) 465-6925
MATTHEW ROMA DDS
Dentist (General Practice)
550 E WASHINGTON BLVD STE 100
CRESCENT CITY, CA 95531
Del Norte County (707) 387-9808
KERRIE VENTRE RN
Registered Nurse
550 E WASHINGTON BLVD STE 100
CRESCENT CITY, CA 95531
Del Norte County (707) 465-6925
AIMEE JACOT RN
Registered Nurse
550 E WASHINGTON BLVD STE 100
CRESCENT CITY, CA 95531
Del Norte County (707) 465-6925
SARA JEAN HAUG RN
Registered Nurse
550 E WASHINGTON BLVD STE 100
CRESCENT CITY, CA 95531
Del Norte County (707) 465-6925
ELIZABETH NOVICKY RN
Registered Nurse
550 E WASHINGTON BLVD STE 100
CRESCENT CITY, CA 95531
Del Norte County (707) 465-6925
SCOTT DRINNON RN
Registered Nurse
550 E WASHINGTON BLVD STE 100
CRESCENT CITY, CA 95531
Del Norte County (707) 465-4636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Open Door Community Health Centers's NPI number?

The NPI number for Open Door Community Health Centers is 1053151811. It was assigned to this organization in the NPPES registry on May 29, 2024. The provider is doing business as Del Norte Mobile Health Services.

Where is Open Door Community Health Centers located?

Open Door Community Health Centers is located at 550 E Washington Blvd Ste 100, Crescent City, CA 95531. The listed phone number is (707) 465-6925.

What is Open Door Community Health Centers's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Open Door Community Health Centers was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.