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NPI Code Detail

MEDICARE: COMPASS HEALTH SYSTEMS OF NORTH DAKOTA LLC

MEDICARE: COMPASS HEALTH SYSTEMS OF NORTH DAKOTA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0802XAddiction Psychiatry Physician
22084P0804XChild & Adolescent Psychiatry Physician
32084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1336833854
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPASS HEALTH SYSTEMS OF NORTH DAKOTA LLC
Provider Business Mailing Address
First Line : 1065 NE 125TH STREET
Second Line : SUITE 300
City : NORTH MIAMI
State : FL
Zip : 33161-5833
Country : US
Telephone Number : 888-852-6672
Fax Number : 305-891-4228
Provider Business Practice Location Address
First Line : 1308 ELBOW WOOD LANE
Second Line :
City : BISMARK
State : ND
Zip : 58503
Country : US
Telephone Number : 888-852-6672
Fax Number : 305-891-4228
Authorized Official
Title or Position : CEO
Name : SCOTT SEGAL
Credential : MD
Telephone Number : 888-852-6672
Provider Enumeration Date : 06/07/2023
Last Update Date : 06/07/2023

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