Compass Medical Center Snowflake, PLLC
Organization Active NPI General Practice Physician · Snowflake, AZ
NPI 1669936050 · NPPES record last updated Mar 19, 2024
Key facts
- NPI
- 1669936050
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- COMPASS MEDICAL CENTER SNOWFLAKE, PLLC
- Practice address
- 1300 S Main St
Snowflake, AZ 85937-5661 - Phone
- (928) 536-5525
- NPI assigned
- Jan 30, 2019
- Organization subpart
- No
Authorized official
- Name
- Justin Woodside
- Title
- Owner
- Phone
- (928) 536-5525
Practitioners 3
-
Justin James Woodside, D.C.
-
Seth Bugg, DC
-
Michael J Sassmann, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190313002765 | AZ | Part B Supplier - Clinic/Group Practice | 6608116405 |
Receives reassigned benefits from 3 practitioners Practice locations: Snowflake, AZ |
| O20240403003707 | AZ | DME Supplier - Multi-Specialty - Physician | 6608116405 | Practice locations: Snowflake, AZ |
National Provider Directory
Locations
1300 S Main St
#5662
Snowflake, AZ 85937
1300 S Main St
Ste A
Snowflake, AZ 85937
Phone (928) 536-5525
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
1300 S Main St
Snowflake, AZ 85937-5661
Mailing address
1300 S Main St
Snowflake, AZ 85937-5661
Phone (928) 536-5525
Other providers in Snowflake, AZ
- Changepoint Integrated Health
- Changepoint Integrated Health
- Brent Clevenger
- Compass Medical Center PLLC
- Compass Medical Center PLLC
- Compass Medical DME PLLC
- Conscious Choices Birth Center LLC
- Karen Cox
- Craig Reed West DDS PC
- Lanny Craig Crockett
All providers in Snowflake, AZ · General Practice Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.