NPIMap

Organization Active NPI

Circle Health Services

  • Health Maintenance Organization
  • Cleveland, OH
National Provider Identifier
1811320583
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
930439 Issued in OH
Legal business name
CIRCLE HEALTH SERVICES
Practice address
12201 Euclid Avenue
Cleveland, OH 44106
Phone
(216) 721-4010
Fax
(216) 721-2431
NPI assigned
Aug 16, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Charles Tong
Title
Cfo
Phone
(216) 707-3408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 930439 OH Primary

Addresses

Primary practice location

12201 Euclid Avenue
Cleveland, OH 44106

Mailing address

12201 Euclid Avenue
Cleveland, OH 44106
Phone (216) 707-3408

Other identifiers 1

IdentifierTypeStateIssuer
1386609857MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
The Free Medical Clinic of36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811320583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 EUCLID AVENUE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44106",
            "telephone_number": "216-707-3408",
            "fax_number": "216-721-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 EUCLID AVENUE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44106",
            "telephone_number": "216-721-4010",
            "fax_number": "216-721-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TONG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "216-707-3408",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OH",
            "license": "930439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386609857",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.