Healthcare Provider Details

I. General information

NPI: 1386609857
Provider Name (Legal Business Name): CIRCLE HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12201 EUCLID AVE
CLEVELAND OH
44106
US

IV. Provider business mailing address

12201 EUCLID AVE
CLEVELAND OH
44106
US

V. Phone/Fax

Practice location:
  • Phone: 216-707-3408
  • Fax: 216-707-3528
Mailing address:
  • Phone: 216-707-3408
  • Fax: 216-707-3528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. CHRISTINE GAMBATESE
Title or Position: CFO
Credential: CPA
Phone: 440-667-9805