Full Circle Health

LBN: Full Circle Health, Inc.
Full Circle Health is an health care organization with primary practice located at 777 N Raymond St , Boise ID 83704. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Full Circle Health, Inc. can be contacted via phone (208) 514-2500, or through Epperly, Ted D via phone (208) 954-8744.

Contact Information

Primary practice address
777 N Raymond St Boise ID 83704
Phone: (208) 514-2500
Fax: (208) 375-2217
Website:
Map and Directions
Authorized official contact:
Name: Epperly, Ted D Doctor of Medicine (MD)
Phone: (208) 954-8744

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1841490075
LBN Legal business name Full Circle Health, Inc.
DBA Doing business as Full Circle Health
Authorized official Epperly, Ted D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2007
Last updated Apr 15th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841490075 NPPES
Idaho MEDICAID 1841490075
Idaho MEDICAID 807782300
Idaho MEDICAID 87843300

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