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FULL CIRCLE CENTER FOR INTEGRATIVE MEDICINE NPI 1326195058


NPI Information

NPI: 1326195058
Provider Name: FULL CIRCLE CENTER FOR INTEGRATIVE MEDICINE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4641 VALLEY EAST BLVD # 2
ARCATA, CA
ZIP 95521
Phone: (707) 840-4701
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FULL CIRCLE CENTER FOR INTEGRATIVE MEDICINE is a family medicine in Arcata, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FULL CIRCLE CENTER FOR INTEGRATIVE MEDICINE NPI is 1326195058. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4641 VALLEY EAST BLVD # 2
ARCATA, CA
ZIP 95521-630
Phone: (707) 840-4701
Fax: (855) 420-6321

The provider's authorized official is Corinne Vivian Basch .
The authorized official title is Owner and has the following contact phone number (707) 840-4701.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 10/9/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyNo
2207Q00000XFamily MedicineA51185CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0094550MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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