FORTUNA COMMUNITY HEALTH CENTER
NPI 1306252051
Clinic/Center - Federally Qualified Health Center (FQHC) in Fortuna, CA

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

The NPI number for Open Door Community Health Centers is 1306252051. It was assigned to this organization in the NPPES registry on July 2, 2014. The provider is doing business as Fortuna Community Health Center.

Q: 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.

Active since July 02, 2014CLIA 05D2105027 · Microscopy

3750 ROHNERVILLE ROAD, FORTUNA, CA 95540(707) 725-6101(707) 725-2978 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 7, 2023, Sep 14, 2018, Mar 4, 2016 (3 updates tracked since 2016).

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About Fortuna Community Health Center NPPES

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

FORTUNA COMMUNITY HEALTH CENTER (NPI 1306252051) is a healthcare organization registered as a federally qualified health center (fqhc) in Fortuna, California and active in the NPI registry since July 2014. The organization holds a CLIA Microscopy certificate valid through November 16, 2027 and lists Victor Starr, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1306252051

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameOPEN DOOR COMMUNITY HEALTH CENTERS

Location Address3750 ROHNERVILLE ROADFortuna, CA 95540

Mailing Address1275 8th StArcata, CA 95521-5770 · (707) 826-8633 · Fax (707) 826-8638

Phone(707) 725-6101

Fax(707) 725-2978

Organization SubpartNo

Authorized OfficialVictor StarrPresident/ceo · (707) 826-8633

Enumeration DateJuly 2, 2014

Last NPPES UpdateJune 7, 20233 updates tracked since enumeration

NPPES CertifiedJune 7, 2023

✔ NPI 1306252051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

3750 ROHNERVILLE ROAD, Fortuna, CA 95540

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Other Names 1

Doing Business AsFortuna Community Health Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 05D2105027

Fortuna Community Health Center · Fortuna, CA

Active · expires Nov 16, 2027

CLIA Number05D2105027

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateNovember 17, 2025

Certificate Expiration DateNovember 16, 2027

Laboratory DirectorDr. Kelvin Vu

Laboratory Phone(707) 725-6101

Laboratory LocationFortuna Community Health Center3750 Rohnerville Rd, Fortuna, CA 95540

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

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

DR. ARLENE TEANA ZAKIA MOORE YOUNAN D.M.D

Dentist (Dental Public Health)