<Unavail>

LBN: Full Circle Health, Inc.
<Unavail> is an health care organization with primary practice located at 6565 W Emerald St , Boise ID 83704-8737. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Full Circle Health, Inc. can be contacted via phone (208) 514-2512, or through Moore, Jared via phone (208) 514-2500.

Contact Information

Primary practice address
6565 W Emerald St Boise ID 83704-8737
Phone: (208) 514-2512
Fax: (208) 514-2513
Website:
Map and Directions
Authorized official contact:
Name: Moore, Jared PHARMD
Phone: (208) 514-2500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 20358RP Idaho

Profile Details

NPI number 1891047791
LBN Legal business name Full Circle Health, Inc.
DBA Doing business as <Unavail>
Authorized official Moore, Jared PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 3rd, 2012
Last updated Apr 29th, 2022 - about 4 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 1891047791 NPPES
Other 2138142 PK
MEDICAID 1891047791 PK

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