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NPI Code Detail

MEDICARE: CIRCLE HEALTH SERVICES

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
1261Q00000XClinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110OTHEROHFFS

General Provider Information

NPI Number : 1124520192
Entity Type Code : Organization
Provider Name (Legal Business Name) : CIRCLE HEALTH SERVICES
Provider Business Mailing Address
First Line : 5955 RIDGE RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44129-3936
Country : US
Telephone Number : 440-888-1686
Fax Number :
Provider Business Practice Location Address
First Line : 5955 RIDGE RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44129-3936
Country : US
Telephone Number : 440-888-1686
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFIVER
Name : JAMES E MASSEY
Credential :
Telephone Number : 213-303-6026
Provider Enumeration Date : 03/06/2018
Last Update Date : 03/06/2018

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Directions to “CIRCLE HEALTH SERVICES ” Practice Location

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