WILLOW CREEK COMMUNITY HEALTH CENTER
NPI 1730330739
Clinic/Center - Federally Qualified Health Center (FQHC) in Willow Creek, CA

Active since October 08, 2008CLIA 05D1091695 · Microscopy
38883 HIGHWAY 299, WILLOW CREEK, CA 95573(530) 629-3111(530) 629-3122 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willow Creek Community Health Center NPPES

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

WILLOW CREEK COMMUNITY HEALTH CENTER (NPI 1730330739) is a healthcare organization registered as a federally qualified health center (fqhc) in Willow Creek, California and active in the NPI registry since October 2008. The organization holds a CLIA Microscopy certificate valid through November 5, 2026 and lists Cheyenne Spetzler, Coo, as its authorized official.

NPPES Registry Identity

NPI1730330739
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameOPEN DOOR COMMUNITY HEALTH CENTERS
Location Address38883 HIGHWAY 299Willow Creek, CA 95573-0726
Mailing Address1275 8th StArcata, CA 95521-5770 · (707) 826-8633 · Fax (707) 826-8638
Fax(530) 629-3122
Organization SubpartYes
Authorized OfficialCheyenne SpetzlerCoo · (707) 826-8633
Enumeration DateOctober 8, 2008
Last NPPES UpdateJune 7, 2023
NPPES CertifiedJune 7, 2023
NPI 1730330739 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 & Gynecology · ObstetricsTaxonomy 207VX0000X
38883 HIGHWAY 299, Willow Creek, CA 95573

Other Names 1

Doing Business AsWillow Creek Community Health Center

Other Identifiers 1

Medicaid1730330739CA

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) 05D1091695

Willow Creek Community Health Center · Willow Creek, CA
Active · expires Nov 5, 2026
CLIA Number05D1091695
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 6, 2024
Certificate Expiration DateNovember 5, 2026
Laboratory DirectorMalia A. Honda
Laboratory Phone(530) 629-3111
Laboratory LocationWillow Creek Community Health Center38883 Highway 299, Willow Creek, CA 95573
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.

Non-emergency Medical Transport (VAN)
38883 HIGHWAY 299
WILLOW CREEK, CA 95573
Registered Nurse
38883 HIGHWAY 299
WILLOW CREEK, CA 95573
Family Medicine
38883 HIGHWAY 299
WILLOW CREEK, CA 95573
Registered Nurse
38883 HIGHWAY 299
WILLOW CREEK, CA 95573
Dentist
38883 HIGHWAY 299
WILLOW CREEK, CA 95573
Nurse Practitioner (Family)
38883 HIGHWAY 299
WILLOW CREEK, CA 95573
Registered Nurse
38883 HIGHWAY 299
WILLOW CREEK, CA 95573

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 1730330739. It was assigned to this organization in the NPPES registry on October 8, 2008. The provider is doing business as Willow Creek Community Health Center.

Where is Open Door Community Health Centers located?

Open Door Community Health Centers is located at 38883 Highway 299, Willow Creek, CA 95573. The listed phone number is (530) 629-3111.

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.

Does Open Door Community Health Centers hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1091695) is associated with this NPI, valid through November 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Open Door Community Health Centers was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.