Great Circle

LBN: Great Circle
Great Circle is an health care organization with primary practice located at 13160 County Road 3610 , Saint James MO 65559-0189. The organization recently has 6 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / Foster Care Agency, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Residential Treatment Facilities / Psychiatric Residential Treatment Facility is the primary health care specialty. Great Circle can be contacted via phone (573) 265-3251, or through Kliethermes, Dawn Renee via phone (573) 303-7219.

Contact Information

Primary practice address
13160 County Road 3610 Saint James MO 65559-0189
Phone: (573) 265-3251
Fax: (573) 265-8571
Website:
Map and Directions
Authorized official contact:
Name: Kliethermes, Dawn Renee
Phone: (573) 303-7219

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 430681470A Missouri
Agencies / Foster Care Agency 253J00000X 000046739 Missouri
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 0A Missouri
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 000046739 Missouri
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 000045712 Missouri
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 000045767 Missouri
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 0000469461 Missouri
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 000363075 Missouri
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 001943115 Missouri

Profile Details

NPI number 1285713289
LBN Legal business name Great Circle
DBA Doing business as
Authorized official Kliethermes, Dawn Renee
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2006
Last updated Jul 21st, 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 1285713289 NPPES
Missouri MEDICAID 507009603

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