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NPI Code Detail

MEDICARE: COMPASSION CARE, INC.

MEDICARE: COMPASSION CARE, INC.
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
1343900000XNon-emergency Medical Transport (VAN)
2347C00000XPrivate Vehicle

General Provider Information

NPI Number : 1386150035
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPASSION CARE, INC.
Provider Business Mailing Address
First Line : 11201 N TATUM BLVD STE 300
Second Line :
City : PHOENIX
State : AZ
Zip : 85028-6039
Country : US
Telephone Number : 844-422-6368
Fax Number : 844-422-6368
Provider Business Practice Location Address
First Line : 11201 N TATUM BLVD STE 300
Second Line :
City : PHOENIX
State : AZ
Zip : 85028-6039
Country : US
Telephone Number : 844-422-6368
Fax Number : 844-422-6368
Authorized Official
Title or Position : CEO
Name : CYNTHIA MARKEN
Credential :
Telephone Number : 480-220-4692
Provider Enumeration Date : 12/18/2017
Last Update Date : 12/18/2017

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