Provider Demographics
NPI:1033545561
Name:COMPLIANCE & SCREENING SERVICES CSS
Entity Type:Organization
Organization Name:COMPLIANCE & SCREENING SERVICES CSS
Other - Org Name:CSS HEALTHCARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:STIPANUK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:870-639-3910
Mailing Address - Street 1:PO BOX 1384
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:AR
Mailing Address - Zip Code:71731-1384
Mailing Address - Country:US
Mailing Address - Phone:870-639-3910
Mailing Address - Fax:870-639-3881
Practice Address - Street 1:525 W FAULKNER ST
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:AR
Practice Address - Zip Code:71730
Practice Address - Country:US
Practice Address - Phone:870-639-3910
Practice Address - Fax:870-639-3881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational MedicineGroup - Single Specialty