FULL CIRCLE HEALTH INC. NPI 1841490075

NPI Information

FULL CIRCLE HEALTH, INC. is a federally qualified health center (fqhc) clinic center in Boise, ID. FULL CIRCLE HEALTH, INC. NPI is 1841490075. The provider is registered as an organization entity type.
The provider Is Doing Business As Full Circle Health.

The provider's business location address is:

777 N RAYMOND ST
BOISE, ID
ZIP 83704
Phone: (208) 514-2500
Fax: (208) 375-2217

The provider's authorized official is Ted D Epperly .
The authorized official title is President And Ceo and has the following contact phone number (208) 954-8744.

The CLIA number assigned to this NPI record is 13D0895832 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2007 and was last updated on 4/15/2023.

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:

Other Identifiers

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

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