Provider Demographics
NPI:1588796270
Name:CIRCLE OF FRIENDS HOME MEDICAL
Entity Type:Organization
Organization Name:CIRCLE OF FRIENDS HOME MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:641-774-2339
Mailing Address - Street 1:1030 N 7TH ST
Mailing Address - Street 2:PO BOX 569
Mailing Address - City:CHARITON
Mailing Address - State:IA
Mailing Address - Zip Code:50049-1206
Mailing Address - Country:US
Mailing Address - Phone:641-774-2339
Mailing Address - Fax:641-774-5267
Practice Address - Street 1:1030 N 7TH ST
Practice Address - Street 2:
Practice Address - City:CHARITON
Practice Address - State:IA
Practice Address - Zip Code:50049-1206
Practice Address - Country:US
Practice Address - Phone:641-774-2339
Practice Address - Fax:641-774-5267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies