NPI: 1346755295
Provider Name: CIRCLE THE CITY
Doing Business As: CIRCLE THE CITY MEDICAL RESPITE CENTER, DOWNTOWN CAMPUS
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization
Specialization: Federally Qualified Health Center (FQHC)
CLIA Number: 03D2144050
Address:
210 S 12TH AVE
PHOENIX, AZ
ZIP 85007
Phone: (602) 776-9000
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CIRCLE THE CITY is a federally qualified health center (fqhc) clinic center in Phoenix, AZ. CIRCLE THE CITY NPI is 1346755295. The provider is registered as an organization entity type.
The provider Is Doing Business As Circle The City Medical Respite Center, Downtown Campus.
The provider's business location address is:
210 S 12TH AVE
PHOENIX, AZ
ZIP 85007-101
Phone: (602) 776-9000
Fax: (602) 776-9001
The provider's authorized official is Brandon Clark .
The authorized official title is Ceo and has the following contact phone number (602) 776-0776.
The CLIA number assigned to this NPI record is 03D2144050 - federally qualified health center with a certificate type of Certificate of Accreditation.
The enumeration date for this NPI number is 12/13/2017 and was last updated on 12/13/2017.