COMPASS MEDICAL CENTER SNOWFLAKE, PLLC (NPI# 1669936050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669936050 |
| Entity Type | Organization |
| Organization Name | COMPASS MEDICAL CENTER SNOWFLAKE, PLLC |
| Practice Address |
2744 W. Plum Blossom Lane Snowflake AZ 85936 |
| Mailing Address |
1300 S Main St Snowflake AZ 85937-5661 |
| Practice Telephone | 9285365525 |
| Mailing Telephone | 9285365525 |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-03-19 |
| Authorized Official Name | LANNY CROCKETT (OWNER) |
| Authorized Official Telephone | 9285365525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
2744 W. PLUM BLOSSOM LANE |
| City | SNOWFLAKE |
| State | AZ |
| Zip Code | 85936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497277651 | White Mountain Regional Medical Center Rural Health Clinic - St. Johns | Clinic/Center | 110 East First Street South, St. Johns, AZ 85936 | 2017-07-10 |
| 1487103297 | Brittany Gray | Physical Therapy Assistant | 80 South 13th West, St. Johns, AZ 85936 | 2016-09-22 |
| 1407226269 | Martha Mcguffin | Nurse Practitioner | 625 N 13th West, St Johns, AZ 85936 | 2015-10-05 |
| 1962808337 | April Marie Allen | Specialist/Technologist | 50 N Water, St Johns, AZ 85936 | 2014-11-13 |
| 1588985808 | Brenon K Farmer | Dentist | 860 W. Cleveland, Suite 5, Saint Johns, AZ 85936 | 2010-06-22 |
| 1306163258 | Marvin Cabilangan Depas | Nurse Practitioner | 625 N. 13th West, North Country Healthcare, St Johns, Saint Johns, AZ 85936 | 2010-04-30 |
| 1518196682 | Candice Bond | Speech-Language Pathologist | 555 West 7th South, Saint Johns, AZ 85936 | 2009-07-09 |
| 1699903757 | Carl S Wiltbank | Physical Therapist | 80 S 13th West, St. Johns, AZ 85936 | 2009-06-29 |
| 1063604965 | Joseph Donovan Tenney | Dentist | 100 North 13th West, Saint Johns, AZ 85936 | 2007-08-14 |
| 1528275237 | Howard N Lee | Dentist | 860 W Cleveland, Saint Johns, AZ 85936 | 2007-05-16 |
| Find all providers in zip 85936 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811387285 | Compass Medical Center Pllc | General Practice | 1300 S Main St, Snowflake, AZ 85937-5661 | 2015-01-23 |
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| 1366080475 | Madison Taylor Phillips | General Practice | 15741 Bering St, Ehrenberg, AZ 85334-0010 | 2019-12-19 |
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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.