| 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 |
| Certification 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 | () | Primary |
| Provider Name | Justin Woodside |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306005327 PECOS PAC ID: 0840358222 Enrollment ID: I20081029000581 |
| Provider Name | Michael J Sassmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295049914 PECOS PAC ID: 4385660992 Enrollment ID: I20131011000001 |
| Provider Name | Seth Bugg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144815333 PECOS PAC ID: 5092122473 Enrollment ID: I20260211001410 |
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