OrganizationActive
Open Door Health Center
NPI 1356611404 · Federally Qualified Health Center (FQHC) · Mankato, MN
Provider details
- NPI number
- 1356611404
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Douglas Jaeger, Ceo(507) 344-5500
Specialties & taxonomies
Ambulatory Health Care Facilities
- Dental Clinic/Center261QD0000X
Ambulatory Health Care Facilities
Practice location
309 Holly Ln
Mankato, MN 56001-5422
Phone: (507) 388-2120
Fax: (507) 388-3924
Approximate (ZIP-level) locationGet directions
Mailing address
309 Holly Ln
Mankato, MN 56001-5422
Other names (DBA / former)
- Other name
- Open Door Health Center - Mobile Dental
Registry dates
- Enumerated
- 2012-01-06
- Last updated
- 2016-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.