COMPASS MEDICAL CENTER HEBER, PLLC (NPI# 1417570664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417570664 |
| Entity Type | Organization |
| Organization Name | COMPASS MEDICAL CENTER HEBER, PLLC |
| Practice Address |
2931 Highway 260 Overgaard AZ 85933 |
| Mailing Address |
Po Box 2340 Overgaard AZ 85933 |
| Practice Telephone | 9285365525 |
| Practice Fax Number | 9285363735 |
| Mailing Telephone | 9285365525 |
| Mailing Fax Number | 9285363735 |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-06-18 |
| Authorized Official Name | JUSTIN JAMES WOODSIDE (OWNER) |
| Authorized Official Telephone | 9285365525 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
2931 HIGHWAY 260 |
| City | OVERGAARD |
| State | AZ |
| Zip Code | 85933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417513904 | N & R Bryce Enterprises LLC | Pharmacy | 2841 Highway 260 Suite 2, Overgaard, AZ 85933 | 2019-05-10 |
| 1396136818 | Compassion Services Inc | Non-emergency Medical Transport (VAN) | 3680 Buckskin Rd, Overgaard, AZ 85933 | 2015-02-06 |
| 1679744940 | Ryan C Stuart Od PC | Optometrist | 2824 Highway 260, Suite 5, Overgaard, AZ 85933 | 2008-03-14 |
| 1942382890 | Marshall M. Willis | Chiropractor | 2947 Hwy 260, #3, Overgaard, AZ 85933 | 2006-10-19 |
| 1164489050 | Aaron C Bornstein | Family Medicine | 2352 Quarter Horse Trail, Overgaard, AZ 85933 | 2006-04-26 |
| 1770566705 | Heber-overgaard Fire District | Ambulance | 2061 Lumber Valley Rd, Overgaard, AZ 85933 | 2005-11-23 |
| 1619973930 | Kelly Marcum | Nurse Practitioner | 2931 S Hwy 260, Overgaard, AZ 85933 | 2005-06-22 |
| 1326549031 | Summit Healthcare Association | Non-Pharmacy Dispensing Site | 2352 Quarter Horse Trail, Overgaard, AZ 85933 | 2018-02-27 |
| 1720515828 | Ramon Schafer Jr. | Family Medicine | 2352 Quarter Horse Trail, Overgaard, AZ 85933 | 2017-05-19 |
| 1043425622 | Marshall M. Willis D.c., P.C. | Chiropractor | 2947 Hwy 260, 3, Overgaard, AZ 85933 | 2007-05-14 |
| Find all providers in zip 85933 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 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.