CIRCLE THE CITY (NPI# 1548775570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548775570 |
Entity Type | Organization |
Organization Name | CIRCLE THE CITY |
Other Organization Name | CIRCLE THE CITY FAMILY HEALTH CENTER, DOWNTOWN CAMPUS |
Practice Address |
220 S 12th Ave Phoenix AZ 85007-3101 |
Mailing Address |
300 W Clarendon Ave Ste 200 Phoenix AZ 85013-3422 |
Practice Telephone | 6027769000 |
Practice Fax Number | 6027769001 |
Mailing Telephone | 6027760776 |
Mailing Fax Number | 6027050567 |
Enumeration Date | 2017-12-13 |
Last Update Date | 2017-12-13 |
Authorized Official Name | BRANDON CLARK (CEO) |
Authorized Official Telephone | 6027760776 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Circle the City Family Health Center, Downtown Campus | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841706785 | Circle The City | Clinic/Center | 206 S 12th Ave, Phoenix, AZ 85007 | 2017-12-14 |
1346755295 | Circle The City | Clinic/Center | 210 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-12-13 |
1164055596 | Circle The City | Clinic/Center | 3522 N 3rd Ave, Phoenix, AZ 85013-3903 | 2020-02-13 |
1952948804 | Circle The City | Clinic/Center | 3522 N 3rd Ave, Phoenix, AZ 85013-3903 | 2019-12-10 |
1497260426 | Circle The City | Clinic/Center | 1125 W Jackson St, Phoenix, AZ 85007-3110 | 2017-12-13 |
1447765474 | Circle The City | Clinic/Center | 3333 E Van Buren St, Phoenix, AZ 85008-6812 | 2017-12-13 |
1548775497 | Circle The City | Clinic/Center | 230 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-12-13 |
1679954184 | Circle The City | Clinic/Center | 3522 N 3rd Ave, Phoenix, AZ 85013-3903 | 2015-06-11 |
1932588795 | Circle The City | Clinic/Center | 333 W Indian School Rd, Phoenix, AZ 85013-3205 | 2015-05-27 |
1487033247 | Circle The City | Clinic/Center | 3522 N 3rd Ave, Phoenix, AZ 85013-3903 | 2015-05-27 |
Street Address |
220 S 12TH AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85007-3101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649254301 | Jann'e M Croll | Physician Assistant | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2005-12-05 |
1821648494 | Elaine | Non-emergency Medical Transport (VAN) | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2019-09-16 |
1174063176 | Bethany Hultstrand | Dietitian, Registered | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-02-24 |
1437523115 | Lynn Meadows | Physician Assistant | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2015-11-18 |
1477818672 | Kathryn King | Physician Assistant | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2012-07-12 |
1386818334 | Margaret Elizabeth Gunn | Nurse Practitioner | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2008-04-21 |
1730377938 | Susan Kay Stutenroth | Social Worker | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2007-10-12 |
1063565455 | Jeff S Jirak | Counselor | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2007-01-19 |
1780733352 | Allan J Gange | Counselor | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2007-01-10 |
1255378915 | Jonathan Cartsonis | Family Medicine | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2006-06-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861017824 | Tembre Eliza Delong | Student in an Organized Health Care Education/Training Program | 230 South 12th Ave, Phoenix, AZ 85007 | 2020-06-15 |
1841706785 | Circle The City | Clinic/Center | 206 S 12th Ave, Phoenix, AZ 85007 | 2017-12-14 |
1922559624 | Community Bridges, Inc. | Community/Behavioral Health | 1125 W Jackson St, Phoenix, AZ 85007 | 2016-10-18 |
1912358045 | Isabel Victoria Rodriguez | Speech-Language Pathologist | 2302 North 15th Avenue, Phoenix, AZ 85007 | 2016-06-30 |
1730441825 | Sara Joyce Edmund | Nurse Practitioner | 1424 S 7th Avenue, Phoenix, AZ 85007 | 2012-06-13 |
1295781771 | Ilin Chuang | Pediatrics | 150 N. 18th Ave., Suite 150, Arizona Depart. of Health Services, Phoenix, AZ 85007 | 2006-05-26 |
1518924802 | Michael James Higbee | Physician Assistant | 1201 S. 7th Avenue, Suite 150, Phoenix, AZ 85007 | 2006-04-28 |
1942278676 | David Paul Brown | Emergency Medicine | 1201 S 7 Avenue, Phoenix, AZ 85007 | 2006-03-09 |
1265409759 | Carol D Watkins | Emergency Medicine | 1201 S 7th Avenue, Phoenix, AZ 85007 | 2006-03-02 |
1982695615 | Mary Pat Nesbit | Emergency Medicine | 1201 S 7th Ave, Phoenix, AZ 85007 | 2005-11-02 |
Find all providers in zip 85007 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194207878 | Valle Del Sol, Inc. | Clinic/Center | 1510 S 19th Dr, Phoenix, AZ 85009-6540 | 2018-08-30 |
1578059168 | Native Health | Clinic/Center | 6850 W Indian School Rd Ste Nh1, Phoenix, AZ 85033-3249 | 2018-07-06 |
1841706785 | Circle The City | Clinic/Center | 206 S 12th Ave, Phoenix, AZ 85007 | 2017-12-14 |
1346755295 | Circle The City | Clinic/Center | 210 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-12-13 |
1437607389 | Neighborhood Outreach Access To Health | Clinic/Center | 20440 N 27th Ave Ste 450, Phoenix, AZ 85027-3240 | 2016-09-20 |
1972907129 | Neighborhood Outreach Access To Health | Clinic/Center | 16251 N Cave Creek Rd, Phoenix, AZ 85032-2976 | 2014-10-17 |
1982830410 | Native Health | Clinic/Center | 2423 W Dunlap Ave Ste 140, Phoenix, AZ 85021-5818 | 2009-06-10 |
1386741668 | Mountain Park Health Center | Clinic/Center | 3830 E Van Buren St, Phoenix, AZ 85008-6936 | 2006-09-20 |
1770196016 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 106 N. Rose Street, Phoenix, OR 97535 | 2020-08-26 |
1164055596 | Circle The City | Clinic/Center | 3522 N 3rd Ave, Phoenix, AZ 85013-3903 | 2020-02-13 |
Find all providers in PHOENIX |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.