Provider Demographics
NPI:1407281678
Name:COMPASS HEALTHCARE PLC
Entity Type:Organization
Organization Name:COMPASS HEALTHCARE PLC
Other - Org Name:CAPITAL UROLOGICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-349-1379
Mailing Address - Street 1:PO BOX 1070
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48805-1070
Mailing Address - Country:US
Mailing Address - Phone:517-349-3900
Mailing Address - Fax:517-349-3939
Practice Address - Street 1:2090 JOLLY RD STE 150
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-6036
Practice Address - Country:US
Practice Address - Phone:517-349-3900
Practice Address - Fax:517-349-3939
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPASS HEALTHCARE, PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-09-06
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301050188208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty