Healthcare Provider Details

I. General information

NPI: 1811320583
Provider Name (Legal Business Name): CIRCLE HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2013
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12201 EUCLID AVENUE
CLEVELAND OH
44106
US

IV. Provider business mailing address

12201 EUCLID AVENUE
CLEVELAND OH
44106
US

V. Phone/Fax

Practice location:
  • Phone: 216-721-4010
  • Fax: 216-721-2431
Mailing address:
  • Phone: 216-707-3408
  • Fax: 216-721-2431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number930439
License Number StateOH

VIII. Authorized Official

Name: MR. CHARLES TONG
Title or Position: CFO
Credential:
Phone: 216-707-3408