BURRE DENTAL CENTER – NPI #1851486989
Clinic/Center

BURRE DENTAL CENTER is an AHC clinic located in EUREKA, CA. NPPES has assigned the NPI number 1851486989 to BURRE DENTAL CENTER on October 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BURRE DENTAL CENTER” is a dba name, the actual legal business name for this organization is OPEN DOOR COMMUNITY HEALTH CENTERS. 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 BURRE DENTAL CENTER below.

NPI Profile for
OPEN DOOR COMMUNITY HEALTH CENTERS

NPI Number
1851486989
Enumeration Date

(more than 19 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): BURRE DENTAL CENTER
Primary location
959 MYRTLE AVENUE
EUREKA, CA 95501
Phone: (707) 442-7078 Fax: (707) 442-7298
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.

Identifiers

Identifiers for BURRE DENTAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCAFHC70970F
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)		 CA 110000502

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.