FORTUNA COMMUNITY HEALTH CENTER – NPI #1306252051
Clinic/Center

FORTUNA COMMUNITY HEALTH CENTER is an AHC clinic located in FORTUNA, CA. NPPES has assigned the NPI number 1306252051 to FORTUNA COMMUNITY HEALTH CENTER on July 02, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FORTUNA COMMUNITY HEALTH CENTER” is a dba name, the actual legal business name for this organization is OPEN DOOR COMMUNITY HEALTH CENTERS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 3 years ago on Jun 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FORTUNA COMMUNITY HEALTH CENTER below.

NPI Profile for
OPEN DOOR COMMUNITY HEALTH CENTERS

NPI Number
1306252051
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OPEN DOOR COMMUNITY HEALTH CENTERS
Doing Business As (dba): FORTUNA COMMUNITY HEALTH CENTER
Primary location
3750 ROHNERVILLE ROAD
FORTUNA, CA 95540
Phone: (707) 725-6101 Fax: (707) 725-2978
Mailing address
1275 8TH ST
ARCATA, CA 95521-5770
Phone: (707) 826-8633 Fax: (707) 826-8638
Organization Subpart
No
Authorized Official
VICTOR STARR
PRESIDENT/CEO
Phone: (707) 826-8633
Updated
Certification Date
Jun 07, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
207V00000X
- Obstetrics & Gynecology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.