Provider Demographics
NPI:1700927266
Name:COMPRESSION, ETC. INC.
Entity type:Organization
Organization Name:COMPRESSION, ETC. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:317-228-8024
Mailing Address - Street 1:2250 W 86TH ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1993
Mailing Address - Country:US
Mailing Address - Phone:317-228-8024
Mailing Address - Fax:317-228-8029
Practice Address - Street 1:2250 W 86TH ST
Practice Address - Street 2:SUITE 120
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1993
Practice Address - Country:US
Practice Address - Phone:317-228-8024
Practice Address - Fax:317-228-8029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200111670AMedicaid
IN4303470002Medicare NSC