Compassion Medical Supply

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

COMPASSION MEDICAL SUPPLY

Practice address

2402 Kimball St
Heber, AZ 85928

Phone

(928) 535-3366

Fax

(928) 492-1022

NPI assigned

Oct 3, 2018

Last updated

Oct 3, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marleana Ivanov

Title

President

Phone

(480) 622-9777

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1447735691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636",
            "city": "OVERGAARD",
            "state": "AZ",
            "postal_code": "859330636",
            "telephone_number": "480-622-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 KIMBALL ST",
            "city": "HEBER",
            "state": "AZ",
            "postal_code": "85928",
            "telephone_number": "928-535-3366",
            "fax_number": "928-492-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "IVANOV",
        "authorized_official_first_name": "MARLEANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-622-9777"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "978494",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Canyon Rim Dental - Heber LLC
• Steven Dana, MSW
• Robert Ferguson, M.A.T.S.
• Pamela Ann Harris, RN
• Heber-Overgaard Usd #6

• Oxygen Equipment & Supplies (DME) in Heber, AZ
• Providers in Heber, AZ by specialty
• Oxygen Equipment & Supplies (DME) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.