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Organization

FULL CIRCLE HEALTH, INC.

Active
Other names
Full Circle Health
Organization subpart
No

Provider details

NPI number
Authorized official
SUZETTE N ANSAY CPCS (DIRECTOR OF MEDICAL STAFF OFFICE)
(208) 954-8746
Entity
Organization

Contact information

Practice address
777 N RAYMOND ST, BOISE, ID 83704
(208) 514-2500
(208) 375-2217
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1841490075
ID
05
807782300
ID
05
87843300
ID
Enumeration date
07/25/2007
Last updated
03/05/2026
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