Organization
COMPASS HEALTHCARE INC
Active
Organization
COMPASS HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL K LANE JR. (VP-CFO)
(314) 997-8889
Entity
Organization
Contact information
Practice address
5667 PEACHTREE DUNWOODY RD NE, SUITE 170, ATLANTA, GA 30342-1725
(404) 252-9064
Mailing address
9301 DIELMAN INDUSTRIAL DR, SAINT LOUIS, MO 63132-2204
(314) 997-8889
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20009402357
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023145
ANCILLARY CARE MANAGEMENT
GA
01
—
56903
NORTHWOOD
GA
01
—
615795
BLUE CROSS BLUE SHIELD
GA
01
—
C2178
KAIESER
GA
Enumeration date
09/13/2006
Last updated
12/13/2010
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