NPI | 1841490075 |
---|---|
Doing Business As | FULL CIRCLE HEALTH |
Entity Type | Organization |
Authorized Contact | TED D EPPERLY President And CEO 208-954-8744 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-07-25 |
Last Update Date | 2023-04-15 |