Provider Demographics
NPI:1679270995
Name:CIRCLE OF HOPE HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:CIRCLE OF HOPE HEALTH CARE SERVICES INC
Other - Org Name:WELLSPRING HEALTH ACCESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BURKHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-786-4974
Mailing Address - Street 1:918 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-2625
Mailing Address - Country:US
Mailing Address - Phone:307-224-7851
Mailing Address - Fax:
Practice Address - Street 1:918 E 2ND ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2625
Practice Address - Country:US
Practice Address - Phone:307-224-7852
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CIRCLE OF HOPE HEALTH CARE SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-08
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center