| NPI Details | |
|---|---|
| NPI | 1255435533 |
| Enumeration Date | 09/08/2006 |
| Last Updated | 09/04/2013 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | CHEYENNE CHEYENNE |
| Position | COO |
| Phone | (707) 826-8610 |
| Fax | (707) 826-8623 |
| Practice Location | |
|---|---|
| 770 10TH STREET ARCATA CA, 95521, US |
|
| Phone | (707) 826-8610 |
| Fax | (707) 826-8623 |
| Business Location | |
|---|---|
| 670 NINTH STREET SUITE 203 ARCATA CA, 95521, US |
|
| Phone | (707) 826-8633 |
| Fax | (707) 826-8638 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207VX0000X |
| License State | |
| License Number | |
| Remove 1255435533 NPI Number | |
According to our database, Open Door Community Health Centers NPI is 1255435533, taxonomy code is 207VX0000X Open Door Community Health Centers physically located at 770 10th Street, Arcata CA, 95521. NPI Number 1033115704 has the healthcare provider type.
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1255435533 NPI number is provided on an as is basis without warranty of any kind. 1255435533 is maintained by the National Plan & Provider Enumeration System. The contents of Open Door Community Health Centers are for informational purposes only.
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