Provider Demographics
NPI:1598280281
Name:COMPASS ONE TRANSPORTATION, INC
Entity Type:Organization
Organization Name:COMPASS ONE TRANSPORTATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SEC/ TREAS
Authorized Official - Prefix:
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:D
Authorized Official - Last Name:MADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-704-8888
Mailing Address - Street 1:25724 S 608 RD
Mailing Address - Street 2:
Mailing Address - City:GROVE
Mailing Address - State:OK
Mailing Address - Zip Code:74344-0213
Mailing Address - Country:US
Mailing Address - Phone:602-704-8888
Mailing Address - Fax:620-506-4564
Practice Address - Street 1:25724 S 608 RD
Practice Address - Street 2:
Practice Address - City:GROVE
Practice Address - State:OK
Practice Address - Zip Code:74344-0213
Practice Address - Country:US
Practice Address - Phone:602-704-8888
Practice Address - Fax:620-506-4564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)