FULLCIRCLE COMMUNITY SERVICES NPI 1912720335

NPI Information

  • NPI: 1912720335
  • Provider Name: FULLCIRCLE COMMUNITY SERVICES
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • :
  • Address: 6136 4TH ST NW STE C
    LOS RANCHOS, NM
    ZIP 87107
  • Phone: (505) 414-1162

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NPI Details

FULLCIRCLE COMMUNITY SERVICES is a community health clinic center in Los Ranchos, NM. FULLCIRCLE COMMUNITY SERVICES NPI is 1912720335. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

6136 4TH ST NW STE C
LOS RANCHOS, NM
ZIP 87107-367
Phone: (505) 414-1162

The provider's authorized official is Matthew Molina .
The authorized official title is President & Ceo and has the following contact phone number (505) 414-1162.

The enumeration date for this NPI number is 11/4/2024 and was last updated on 2/26/2025.

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 License Number License State Primary
1261QC1500XClinic/CenterCommunity HealthYes
2373H00000XDay Training/Habilitation SpecialistNo

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: 11/21/2025

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