Provider Demographics
NPI:1811907330
Name:COMPASS HEALTHCARE INC
Entity type:Organization
Organization Name:COMPASS HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:K
Authorized Official - Last Name:LANE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:314-997-8889
Mailing Address - Street 1:9301 DIELMAN INDUSTRIAL DR
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132
Mailing Address - Country:US
Mailing Address - Phone:314-997-8889
Mailing Address - Fax:314-569-9031
Practice Address - Street 1:9301 DIELMAN INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63132-2204
Practice Address - Country:US
Practice Address - Phone:314-997-8889
Practice Address - Fax:314-569-9031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA56904OtherABP ADMINISTRATION
OH56906OtherABP ADMINISTRATION
MA602035OtherTUFTS HEALTH PLAN
MA0008819OtherNIEGHBORHOOD HEALTH PLAN
MA610139OtherHARVARD PILGRIM HEALTHCAR
GA56903OtherABP ADMINISTRATION
GA1023145OtherANCILLARY CARE MANAGEMENT
KY56907OtherNORTHWOOD
GA615795OtherBLUE CROSS BLUE SHIELD OF
OH000000216065OtherANTHEM BLUE CROSS BLUE SH
OH56906OtherNORTHWOOD
GA56903OtherNORTHWOOD
OHDM135OtherHUMANA
MA356954OtherBLUE CROSS BLUE SHIELD OF
MA56904OtherNORTHWOOD
KY56907OtherABP ADMINISTRATION
GAC2178OtherKALSER PERMANENTE
GAC2178OtherKALSER PERMANENTE
GA56903OtherNORTHWOOD
MA610139OtherHARVARD PILGRIM HEALTHCAR