Organization
COMPASS HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL K LANE JR. (CFO)
(314) 997-8889
Entity
Organization
Contact information
Practice address
330 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-3427
(589) 344-6000
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
064110
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000216065
ANTHEM BCBS
KY
01
—
56907
NORTHWOOD
KY
Enumeration date
09/20/2006
Last updated
12/13/2010
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