FULL CIRCLE HEALTH AND WELLNESS LLC


Address: 1702 W Gilchrist Ave, Artesia, NM 88210-1100
Phone: 3306969129

FULL CIRCLE HEALTH AND WELLNESS LLC (NPI# 1528579596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528579596
Entity Type Organization
Organization Name FULL CIRCLE HEALTH AND WELLNESS LLC
Other Organization Name FULL CIRCLE HEALTH AND WELLNESS
Practice Address 1702 W Gilchrist Ave
Artesia
NM 88210-1100
Practice Telephone 3306969129
Practice Fax Number 8665161214
Mailing Telephone 7551376965
Mailing Fax Number 8665161214
Enumeration Date 2017-10-18
Last Update Date 2020-03-11
Authorized Official Name MR. ALLEN AYERS (OWNER/PRACTITIONER)
Authorized Official Telephone 5755137696
Authorized Official Credential NP-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Full Circle Health and Wellness Doing Business As Name - Organization

Office Location

Street Address 1702 W GILCHRIST AVE
City ARTESIA
State NM
Zip Code 88210-1100

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NPI Name Taxonomy Address Enumeration
1003452012 Blue Star Therapy, LLC Occupational Therapist 611 W. Mahone Dr., Artesia, NM 88210 2019-11-25
1245777382 Alise Mullen Registered Nurse 1806 W. Centre Ave, Artesia, NM 88210 2017-01-27
1376890285 Micki J Miller Massage Therapist 106 S. 7th. St., Artesia, NM 88210 2012-08-09
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1013143338 Yucca Health Care Centers Clinic/Center 606 North 13th Street, Artesia, NM 88210 2009-06-01
1205077310 Kay L. Younggren Dds Dentist 2520 W. Hermosa, Artesia, NM 88210 2009-03-19
1922264902 Sherry Rayne Moya Nurse Practitioner 702 13th Street, Artesia, NM 88210 2008-07-30
1679778054 Susan Emelie Trompeter Internal Medicine 702 N 13th St Ste 100, Artesia, NM 88210 2007-06-18
1952518292 D. Ann Sanders Registered Nurse 504 Gage, Artesia, NM 88210 2007-05-17
1366597908 Pecos Valley Regional Education Coop 8 Community/Behavioral Health 2218 W Grand Ave, Artesia, NM 88210 2007-01-24
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1972038917 Pa Medical Rehab Center LLC Clinic/Center 2900 Louisiana Blvd Ne Ste H, Albuquerque, NM 87110-3565 2017-04-27
1144676149 Acuhealth Acupuncture, LLC Clinic/Center 511 W San Mateo Rd, Santa Fe, NM 87505-4027 2016-05-09
1093075277 Occupational Health Centers of The Southwest Pa Clinic/Center 400 Marquette Ave Nw, City Hall Bldg., Basement B-06, Albuquerque, NM 87102-2147 2012-05-22
1750687190 Daves Health Services, LLC Clinic/Center 110 S Halagueno St, Carlsbad, NM 88220-5748 2011-02-02
1699079459 Nm Health Care To You LLC Clinic/Center 4535 Schiff Trail, Silver City, NM 88061 2011-01-07
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Competitor

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City ARTESIA
Zip Code 88210

Improve Information

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Dataset Information

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.

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