MEDICARE: CIRCLE HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1669288965
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CIRCLE HEALTH SERVICES

Provider Business Mailing Address
First Line	:	4500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-3736
Country	:	US
Telephone Number	:	216-416-4277
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 E 113TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44108-2603
Country	:	US
Telephone Number	:	216-416-4277
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	CHRISTINE GAMBATESE
Credential	:	CPA
Telephone Number	:	440-667-9805

Provider Enumeration Date	:	12/10/2024
Last Update Date	:	12/10/2024

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Directions to “CIRCLE HEALTH SERVICES ” Practice Location

Language	Start Address	Practice Location

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