NPIMap

Organization Active NPI

Compass Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Saint Peters, MO
National Provider Identifier
1063998441
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMPASS HEALTH, INC.
Practice address
8075 Mexico Rd
Saint Peters, MO 63376-1148
Phone
(573) 234-5258
NPI assigned
Jul 18, 2018
Last updated
Sep 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Teresa L Porter
Title
Credentialing Manager
Phone
(660) 890-8156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

8075 Mexico Rd
Saint Peters, MO 63376-1148

Mailing address

1800 Community
Clinton, MO 64735-8804
Phone (660) 890-8156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180807001191 MO Part A Provider - Federally Qualified Health Center (FQHC) 1951206754 Practice locations: Saint Peters, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063998441. Details of each certification follow.

Federally qualified health center certification: CCN 261161

Legal name
COMPASS HEALTH INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 6, 2018
Last certification
Aug 6, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 3, 2004 in MO
Enrollment address
8075 Mexico Rd
Saint Peters, MO 63376-1148

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2333838Compass Health - St Peter's Express Care8075 Mexico Road, St Peters, MO 63376Certificate of waiverNov 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Michael D Atkinson128 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Compass Health Inc Organization, Clinton, MO Non-profit 5% Or Greater Direct Ownership Interest Jul 11, 2018 100%
Teresa L Porter Individual W-2 Managing EmployeeCredentialing Manager Jul 11, 2018
Alan W Stevens Individual Corporate DirectorVice President of Integrated Care Jul 11, 2018

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1063998441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-890-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 MEXICO RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761148",
            "telephone_number": "573-234-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "660-890-8156"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.