Compass Health, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Harrisonville, MO
NPI 1235801416 · NPPES record last updated Oct 5, 2021
Key facts
- NPI
- 1235801416
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- COMPASS HEALTH, INC
- Practice address
- 300 Galaxie Ave
Harrisonville, MO 64701-2084 - Phone
- (844) 853-8937
- NPI assigned
- Oct 5, 2021
- Organization subpart
- No
Authorized official
- Name
- Teresa L Porter
- Title
- Credentialing Manager
- Phone
- (660) 890-8156
Corporate family (same tax ID) 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Federally qualified health center certification: CCN 791168
- Legal name
- COMPASS HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Sep 24, 2021
- Last certification
- Sep 24, 2021
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Nov 26, 1974 in MO
- Enrollment address
- 300 Galaxie Ave
Harrisonville, MO 64701-2084
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Joi Niedner |
Other |
Sep 24, 2021 | |
| Dennis Daugherty |
Other |
Sep 24, 2021 | |
| Rebecca Culler |
Other |
Sep 24, 2021 | |
| Rodney Reid |
Other |
Sep 24, 2021 | |
| Teresa L Porter |
W-2 Managing Employee |
Sep 24, 2021 | |
| Keith Schafer |
Other |
Sep 24, 2021 | |
| Curtis Cain |
Other |
Sep 24, 2021 | |
| Tim Glasscock |
Other |
Sep 24, 2021 | |
| Patricia Cleveland |
Other |
Sep 24, 2021 | |
| Brian C Baker |
Other |
Sep 24, 2021 | |
| Tim Alan Larimore |
Other |
Sep 24, 2021 | |
| Alan W Stevens |
Corporate Director |
Sep 24, 2021 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Compass Health Inc |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jul 11, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211008002682 | MO | Part a Provider - Federally Qualified Health Center (FQHC) | 1951206754 | Practice locations: Harrisonville, MO |
National Provider Directory
- Tax ID family
- Pathways Community Beha
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
300 Galaxie Ave
Harrisonville, MO 64701-2084
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 890-8156
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All providers in Harrisonville, MO · Federally Qualified Health Center (FQHC) in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.