Provider Demographics
NPI:1316833387
Name:FMK HEALTH INC
Entity type:Organization
Organization Name:FMK HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:COMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-832-9703
Mailing Address - Street 1:72960 FRED WARING DR STE 101
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-2897
Mailing Address - Country:US
Mailing Address - Phone:760-641-4085
Mailing Address - Fax:877-285-0477
Practice Address - Street 1:72960 FRED WARING DR STE 101
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-2897
Practice Address - Country:US
Practice Address - Phone:760-641-4085
Practice Address - Fax:877-285-0477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty