Healthcare Provider Details

I. General information

NPI: 1427966241
Provider Name (Legal Business Name): CIRCLE THE CITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/09/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5456 E MAIN ST
MESA AZ
85205
US

IV. Provider business mailing address

300 W CLARENDON AVE STE 200
PHOENIX AZ
85013-3422
US

V. Phone/Fax

Practice location:
  • Phone: 602-776-0776
  • Fax:
Mailing address:
  • Phone: 602-776-0776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateNULL

VIII. Authorized Official

Name: TERRELL COLEMAN
Title or Position: CHIEF OPERATIONS OFFICER
Credential:
Phone: 602-776-0776