Provider Demographics
NPI:1336595487
Name:COMPASS TRANSPORTATION LLC
Entity Type:Organization
Organization Name:COMPASS TRANSPORTATION LLC
Other - Org Name:N/A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:TREZVANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-428-0095
Mailing Address - Street 1:707 ROBINS ST
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-6565
Mailing Address - Country:US
Mailing Address - Phone:501-428-0095
Mailing Address - Fax:
Practice Address - Street 1:707 ROBINS ST
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-6565
Practice Address - Country:US
Practice Address - Phone:501-428-0095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport