Compass Medical Center Snowflake, Pllc | |
1300 S Main St Snowflake AZ 85937-5661 | |
(928) 536-5525 | |
Not Available |
Full Name | Compass Medical Center Snowflake, Pllc |
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Speciality | General Practice |
Location | 1300 S Main St, Snowflake, Arizona |
Authorized Official Name and Position | Justin Woodside (OWNER) |
Authorized Official Contact | 9285365525 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Compass Medical Center Snowflake, Pllc 1300 S Main St Snowflake AZ 85937-5661 Ph: (928) 536-5525 | Compass Medical Center Snowflake, Pllc 1300 S Main St Snowflake AZ 85937-5661 Ph: (928) 536-5525 |
NPI Number | 1669936050 |
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Provider Enumeration Date | 01/30/2019 |
Last Update Date | 03/19/2024 |
Medicare PECOS PAC ID | 6608116405 |
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Medicare Enrollment ID | O20190313002765 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669936050 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Lanny C Crockett |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1780644195 PECOS PAC ID: 3072415116 Enrollment ID: I20040121000324 |
Provider Name | Larry D Davis |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1598813131 PECOS PAC ID: 8921172784 Enrollment ID: I20080729000181 |
Provider Name | Justin Woodside |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1306005327 PECOS PAC ID: 0840358222 Enrollment ID: I20081029000581 |
Provider Name | William T Meshier |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1407837172 PECOS PAC ID: 4284828732 Enrollment ID: I20101029000043 |
Provider Name | Hortense Noble |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134783954 PECOS PAC ID: 3476983305 Enrollment ID: I20200416003689 |
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