Provider Demographics
NPI:1821802133
Name:COMPASSIONATE PRIMARY CARE SERVICES PLC
Entity type:Organization
Organization Name:COMPASSIONATE PRIMARY CARE SERVICES PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:D'HAEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-525-7326
Mailing Address - Street 1:2206 N WESTNEDGE AVE
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007-1790
Mailing Address - Country:US
Mailing Address - Phone:269-993-1362
Mailing Address - Fax:
Practice Address - Street 1:344 W ALLEGAN ST
Practice Address - Street 2:
Practice Address - City:OTSEGO
Practice Address - State:MI
Practice Address - Zip Code:49078-1086
Practice Address - Country:US
Practice Address - Phone:269-993-1362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty