SECOND MOBILE UNIT
NPI 1770229882
Clinic/Center - Federally Qualified Health Center (FQHC) in Eureka, CA

Active since May 11, 2022CLIA 05D2273424 · Microscopy
3696 JACOBS AVE, EUREKA, CA 95501(707) 443-4666 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2023, May 11, 2022 (2 updates tracked since 2022).

About Second Mobile Unit NPPES

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

SECOND MOBILE UNIT (NPI 1770229882) is a healthcare organization registered as a federally qualified health center (fqhc) in Eureka, California and active in the NPI registry since May 2022. The organization holds a CLIA Microscopy certificate valid through December 12, 2026 and lists Victor Starr, President And Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1770229882
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameOPEN DOOR COMMUNITY HEALTH CENTERS
Location Address3696 JACOBS AVEEureka, CA 95501-0911
Mailing Address1275 8th StArcata, CA 95521-5770 · (707) 826-8633 · Fax (707) 826-8638
Organization SubpartYes
Authorized OfficialVictor StarrPresident And Executive Officer · (707) 826-8633
Enumeration DateMay 11, 2022
Last NPPES UpdateJune 7, 20232 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
NPI 1770229882 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
3696 JACOBS AVE, Eureka, CA 95501

Other Names 1

Doing Business AsSecond Mobile Unit

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) 05D2273424

Second Mobile Unit · Eureka, CA
Active · expires Dec 12, 2026
CLIA Number05D2273424
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorKelvin K. Vu
Laboratory Phone(707) 443-4666
Laboratory LocationSecond Mobile Unit3696 Jacobs Ave, Eureka, CA 95501
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.

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 1770229882. It was assigned to this organization in the NPPES registry on May 11, 2022. The provider is doing business as Second Mobile Unit.

Where is Open Door Community Health Centers located?

Open Door Community Health Centers is located at 3696 Jacobs Ave, Eureka, CA 95501. The listed phone number is (707) 443-4666.

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 05D2273424) is associated with this NPI, valid through December 12, 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.