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CH09154D OPEN DOOR COMMUNITY HEALTH CENTERS (Active)
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Main Details
Name
OPEN DOOR COMMUNITY HEALTH CENTERS
Subdivision Name
NORTH COUNTRY CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005238
340B ID
CH09154D
Grant Number
H80CS00225
Additional Details
Current Program Status
Active
Registration Date
4/1/1996
Participating Start Date
4/1/1996
Participating Approval Date
11/3/2004
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Open Door Community Health Centers
Natasha Wood, Chief Financial Officer
(707) 616-6927
Primary Contact
Open Door Community Health Centers
Adriana R Campbell, 340B Program Manager
(210) 834-1173
Addresses
Street Address
785 18TH ST
ARCATA, CA 95521
Billing Address
OPEN DOOR COMMUNITY HEALTH CENTERS
1275 8th St
Arcata, CA 95521
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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5/12/04 - ADMIN CORRECTION - WAS FQHCLA007 - IS NOW A CH, 11/3/04 - NEW CONTACT
11/03/2004
April 2025
April 2025
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