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Fullcircle Community Services — NPI 1912720335, Los Ranchos, NM | NPI Central

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NPI 1912720335

OrganizationActive

Fullcircle Community Services

NPI 1912720335 · Community Health Clinic/Center · Los Ranchos, NM

Provider details

NPI number: 1912720335
Entity type: Organization
Primary specialty: Community Health Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Matthew Molina, President & Ceo(505) 414-1162

Specialties & taxonomies

Community Health Clinic/CenterPrimary261QC1500X
Ambulatory Health Care Facilities
Day Training/Habilitation Specialist373H00000X
Nursing Service Related Providers

Practice location

6136 4th St Nw Ste C

Los Ranchos, NM 87107-5367

Phone: (505) 414-1162

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

6136 4th St Nw Ste C

Los Ranchos, NM 87107-5367

Other names (DBA / former)

Doing business as: None
Doing business as: None

Registry dates

Enumerated: 2024-11-04
Last updated: 2025-02-26
Certified: 2025-02-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.