Healthcare Provider Details

I. General information

NPI: 1578261178
Provider Name (Legal Business Name): FULL CIRCLE WELLNESS & BIRTHCENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2023
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 3RD ST SE STE B
KASSON MN
55944-2943
US

IV. Provider business mailing address

603 3RD ST SE
KASSON MN
55944
US

V. Phone/Fax

Practice location:
  • Phone: 507-634-6071
  • Fax:
Mailing address:
  • Phone: 507-634-6071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANNEMARIE SCHWANKE
Title or Position: ADMINISTRATIVE DIRECTOR
Credential:
Phone: 507-951-2625