| Compass Medical Center Heber, Pllc | |
|
2931 Highway 260 Overgaard AZ 85933 | |
| (928) 536-5525 | |
| (928) 536-3735 |
| Full Name | Compass Medical Center Heber, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 2931 Highway 260, Overgaard, Arizona |
| Authorized Official Name and Position | Justin James 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 |
|---|---|
| Compass Medical Center Heber, Pllc Po Box 2340 Overgaard AZ 85933 Ph: (928) 536-5525 | Compass Medical Center Heber, Pllc 2931 Highway 260 Overgaard AZ 85933 Ph: (928) 536-5525 |
| NPI Number | 1417570664 |
|---|---|
| Provider Enumeration Date | 05/22/2020 |
| Last Update Date | 06/18/2020 |
| Medicare PECOS PAC ID | 5799105136 |
|---|---|
| Medicare Enrollment ID | O20201023000642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417570664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Lanny C Crockett |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780644195 PECOS PAC ID: 3072415116 Enrollment ID: I20040121000324 |
| Provider Name | Larry D Davis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598813131 PECOS PAC ID: 8921172784 Enrollment ID: I20080729000181 |
| Provider Name | Justin Woodside |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306005327 PECOS PAC ID: 0840358222 Enrollment ID: I20081029000581 |
| Provider Name | William T Meshier |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407837172 PECOS PAC ID: 4284828732 Enrollment ID: I20101029000043 |
| Provider Name | Marilyn King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740286707 PECOS PAC ID: 1052483492 Enrollment ID: I20201026003154 |
Family Medicine At Bison Ranch Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2352 Quarter Horse Trail, Overgaard, AZ 85933 Phone: 928-535-3616 Fax: 928-532-2156 | |
Mitchell F Horan Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2931 Arizona Hwy 260, Overgaard, AZ 85933 Phone: 928-535-3616 Fax: 928-535-3615 |