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OPEN DOOR HEALTH CENTER
NPI 1114446283
Clinic/Center - Federally Qualified Health Center (FQHC) in Shakopee, MN

Active since September 11, 2017CLIA Certified · 2 labs
1617 WESTON CT STE 200, SHAKOPEE, MN 55379(952) 492-6342(652) 492-2631 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2026, Jan 16, 2026, Jul 8, 2024 and 1 more (4 updates tracked since 2017).

About Open Door Health Center NPPES

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

OPEN DOOR HEALTH CENTER (NPI 1114446283) is a healthcare organization registered as a federally qualified health center (fqhc) in Shakopee, Minnesota and active in the NPI registry since September 2017. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Jordan, and lists Jennifer Beckius, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114446283
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameOPEN DOOR HEALTH CENTER
Location Address1617 WESTON CT STE 200Shakopee, MN 55379-4717
Mailing Address309 Holly LnMankato, MN 56001-5422 · (507) 388-2120
Phone(952) 492-6342
Fax(652) 492-2631
Organization SubpartNo
Authorized OfficialJennifer BeckiusCfo · (507) 344-5507
Enumeration DateSeptember 11, 2017
Last NPPES UpdateApril 8, 20264 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1114446283 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
1617 WESTON CT STE 200, Shakopee, MN 55379
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Secondary Practice Location 1

Location 1115 Broadway St SJordan, MN 55352-1664 · Phone (507) 388-2120

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0887412

Open Door Health Center · Mankato, MN
Active · expires Apr 30, 2028
CLIA Number24D0887412
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorRadha K. Kumar
Laboratory Phone(507) 388-2120
Laboratory LocationOpen Door Health Center309 Holly Lane, Mankato, MN 56001
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2340604

Open Door Health Center - Shakopee · Shakopee, MN
Active · expires Mar 18, 2028
CLIA Number24D2340604
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorRadha K. Kumar
Laboratory Phone(507) 388-2120
Laboratory LocationOpen Door Health Center - Shakopee1617 Weston Court, Suite 200, Shakopee, MN 55379
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Health Center's NPI number?

The NPI number for Open Door Health Center is 1114446283. It was assigned to this organization in the NPPES registry on September 11, 2017.

Where is Open Door Health Center located?

Open Door Health Center is located at 1617 Weston Ct Ste 200, Shakopee, MN 55379. The listed phone number is (952) 492-6342.

What is Open Door Health Center's specialty?

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

Does Open Door Health Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Open Door Health Center was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.