Open Door Health Center in Mankato - Federally Qualified Health Center (fqhc)
Open Door Health Center - NPI 1891740908
Open Door Health Center is a Federally Qualified Health Center (fqhc) in Mankato, Minnesota. Open Door Health Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Open Door Health Center is 1891740908. The last update date is 2016-04-04.
Open Door Health Center's current location address is 309 Holly Ln, Mankato, Minnesota. You can contact this provider via phone number 5073882120 and fax number 5073883924. The mailing address for Open Door Health Center is 309 Holly Ln, Mankato, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Open Door Health Center |
|---|---|
| Address | 309 Holly Ln, Mankato, Minnesota |
| Phone Number | 5073882120 |
| Fax Number | 5073883924 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Jaeger L Douglas |
| Telephone Number | 5073445500 |
NPI Number Detail
| NPI Number | 1891740908 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2016-04-04 |
Provider Mailing Address Detail
| Address | 309 Holly Ln |
|---|---|
| City | Mankato |
| State | Minnesota (MN) |
| Post Code | 560015422 |
| Phone Number | 5073882120 |
| Fax Number | 5073883924 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201094100 | MN | -- |
Post Comment/ Review Below
What is the Open Door Health Center's unique identification number?
The Open Door Health Center has been assigned the NPI (National Provider Identifier) Number 1891740908 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Open Door Health Center is physically located?
The Open Door Health Center is physically situated at the following address: 309 Holly Ln, Mankato, MN, 560015422.
What is Open Door Health Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Open Door Health Center is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.
On what date did the Open Door Health Center receive the assignment of its 1891740908 from the Centers for Medicare & Medicaid Services?
The Open Door Health Center was issued its 1891740908 by the Centers for Medicare & Medicaid Services on 2006-05-24.
As of what date were the Open Door Health Center's details last updated?
The information pertaining to the Open Door Health Center, including its address, specialty, and other details, was most recently updated on 2016-04-04.
NPI Number: 1669475166
Address: 4951 Business Park Blvd, Anchorage, AK
NPI Number: 1881697381
Address: 925 Bevins Ct, Lakeport, CA