Provider Demographics
NPI:1922274604
Name:COMPASSION MEDICAL SUPPLIES, INC.
Entity Type:Organization
Organization Name:COMPASSION MEDICAL SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:IKECHUKWU
Authorized Official - Middle Name:
Authorized Official - Last Name:ANANABA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-758-2569
Mailing Address - Street 1:4023 WAKE FOREST ROAD
Mailing Address - Street 2:SUITE 4023
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6842
Mailing Address - Country:US
Mailing Address - Phone:919-872-5494
Mailing Address - Fax:919-872-5336
Practice Address - Street 1:4023 WAKE FOREST RD
Practice Address - Street 2:4023
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6842
Practice Address - Country:US
Practice Address - Phone:919-872-5494
Practice Address - Fax:919-872-5336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-02
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6131340001Medicare NSC