CIRCLE HEALTH SERVICES NPI 1427565514

NPI Information

NPI: 1427565514
Provider Name: CIRCLE HEALTH SERVICES

Former Legal Business Name: THE FREE MEDICAL CLINIC OF GREATER CLEVELAND

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3929 ROCKY RIVER DR
CLEVELAND, OH
ZIP 44111
Phone: (216) 525-5800
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CIRCLE HEALTH SERVICES is a federally qualified health center (fqhc) clinic center in Cleveland, OH. CIRCLE HEALTH SERVICES NPI is 1427565514. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is The Free Medical Clinic Of Greater Cleveland.

The provider's business location address is:

3929 ROCKY RIVER DR
CLEVELAND, OH
ZIP 44111-153
Phone: (216) 525-5800

The provider's authorized official is Kelli Black .
The authorized official title is Advanced Billing Specialist and has the following contact phone number (216) 721-4070.

The CLIA number assigned to this NPI record is 36D2149574 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/10/2018 and was last updated on 1/10/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	251B00000X	Case Management		No
3	251S00000X	Community/Behavioral Health		No
4	252Y00000X	Early Intervention Provider Agency		No
5	261QD0000X	Clinic/Center	Dental	No
6	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0082924	MEDICAID	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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