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CH09154N OPEN DOOR COMMUNITY HEALTH CENTERS (Terminated)
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Main Details
Name
OPEN DOOR COMMUNITY HEALTH CENTERS
Subdivision Name
Fortuna Community Health Center (3304)
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014662
340B ID
CH09154N
Grant Number
H80CS00225
Additional Details
Current Program Status
Terminated
Registration Date
10/5/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/21/2015
Last Recertification Date
2/8/2018
Termination Date
Termination Reason
10/1/2018
Business decision by the Covered Entity
Contacts
Authorizing Official
Open Door Community Health Centers
James Bella, CFO
(707) 826-8633 Ext: 5146
Primary Contact
Open Door Community Health Centers
Gail Kuwahara, Pharmacy Coordinator
(707) 826-8633 Ext: 5147
Addresses
Street Address
3304 RENNER DR
FORTUNA, CA 95540-7102
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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June 2025
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