| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 01/30/2019 |
| Last Update Date | 03/19/2024 |
| Medicare PECOS PAC ID | 6608116405 |
|---|---|
| Medicare Enrollment ID | O20190313002765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669936050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Floyd E Beyer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083796783 PECOS PAC ID: 6406931831 Enrollment ID: I20080417000621 |
| 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 | Hortense Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134783954 PECOS PAC ID: 3476983305 Enrollment ID: I20200416003689 |
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Compass Medical Center Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 S Main St, Snowflake, AZ 85937 Phone: 928-536-5525 Fax: 928-484-6070 | |
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