NPIMap

Organization Active NPI

Compass Community Health

  • Federally Qualified Health Center (FQHC)
  • Portsmouth, OH
National Provider Identifier
1174047658
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMPASS COMMUNITY HEALTH
Practice address
1656A Coles Blvd
Portsmouth, OH 45662-2632
Phone
(740) 355-7102
Fax
(740) 876-8863
NPI assigned
Jul 27, 2017
Organization subpart
Yes
Parent organization
COMPASS COMMUNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Summer Michelle Kirby
Title
Ceo
Phone
(740) 351-1514

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Hearing and Speech Clinic/Center 261QH0700X
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1656A Coles Blvd
Portsmouth, OH 45662-2632

Mailing address

1634 11TH St
Portsmouth, OH 45662-4526
Phone (740) 355-7102

Other identifiers 1

IdentifierTypeStateIssuer
249180MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131030000613 OH Part B Supplier - Clinic/Group Practice 1759516693 Receives reassigned benefits from 24 practitioners
2 other NPIs on this enrollment
Practice locations: Portsmouth, OH
O20171031001250 OH Part A Provider - Federally Qualified Health Center (FQHC) 1759516693 Practice locations: Portsmouth, OH

Federally qualified health center certification: CCN 361148

Legal name
COMPASS COMMUNITY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 31, 2017
Last certification
Oct 31, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 7, 2012 in OH
Enrollment address
1656 Coles Blvd
Ste a
Portsmouth, OH 45662-2632

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Compass Pharmacy4 organizations share this tax ID, including this one
Part of
Compass Pharmacy

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1656 Coles Blvd
Ste A
Portsmouth, OH 45662
Phone (740) 355-7102

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
J William McKinley Individual Corporate Director May 7, 2012
Amanda Mitchell Individual Corporate Director May 7, 2012
Ester Collier Individual Corporate Director May 7, 2012
Sallie Schisley Individual Corporate Director May 7, 2012
David Malone Individual Corporate Director May 7, 2012
Leasa L Mowery Individual Corporate Director May 7, 2012
Diana Donahoe Individual Corporate Director May 7, 2012
Margaret Selby Individual Corporate Director May 7, 2012
Mark Cardosi Individual Corporate Director May 7, 2012
Stephen Crabtree Individual Corporate Director May 7, 2012
Jamie Hermann Individual Corporate Director May 7, 2012
Summer Kirby Individual Corporate OfficerCeo Nov 3, 2015
W-2 Managing EmployeeCeo Nov 3, 2015
Pamela Robirds Individual Corporate Director May 7, 2012

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1174047658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 11TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624526",
            "telephone_number": "740-355-7102",
            "fax_number": "740-353-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656A COLES BLVD",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622632",
            "telephone_number": "740-355-7102",
            "fax_number": "740-876-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS COMMUNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPASS COMMUNITY HEALTH",
        "enumeration_date": "2017-07-27",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-351-1514"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "249180",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.