Healthcare Provider Details

I. General information

NPI: 1104085158
Provider Name (Legal Business Name): COMPASS HEALTHCARE PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2008
Last Update Date: 06/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 E SAGINAW ST
EAST LANSING MI
48823-2740
US

IV. Provider business mailing address

1575 RAMBLEWOOD DR SUITE 200
EAST LANSING MI
48823-6384
US

V. Phone/Fax

Practice location:
  • Phone: 517-337-3080
  • Fax: 517-337-3082
Mailing address:
  • Phone: 517-827-1800
  • Fax: 517-827-1805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: CHARLES H BILL
Title or Position: PRESIDENT
Credential: MD
Phone: 517-827-1800