NPIMap

Organization Active NPI

Compass Health, Inc

Doing business as Comtrea

  • Federally Qualified Health Center (FQHC)
  • High Ridge, MO
National Provider Identifier
1356751648
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMPASS HEALTH, INC
Doing business as
Comtrea
Practice address
1817 Gravois Rd
High Ridge, MO 63049-2668
Phone
(636) 376-0079
Fax
(636) 677-8400
NPI assigned
May 7, 2014
Last updated
Aug 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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
(636) 466-6452

Specialties & licenses 1

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

Addresses

Primary practice location

1817 Gravois Rd
High Ridge, MO 63049-2668

Mailing address

1800 Community
Clinton, MO 64735-8804
Phone (844) 853-8937

Other names 1

  • COMTREA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040325000428 MO Part B Supplier - Clinic/Group Practice 0749171585 Receives reassigned benefits from 26 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: High Ridge, MO; House Springs, MO; Hillsboro, MO; Festus, MO; Arnold, MO
O20230926000332 MO Part A Provider - Federally Qualified Health Center (FQHC) 1951206754 Practice locations: High Ridge, MO

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1356751648. Details of each certification follow.

Federally qualified health center certification: CCN 261945

Legal name
COMPASS HEALTH INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 1, 2023
Last certification
Jul 1, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 26, 1974 in MO
Enrollment address
1817 Gravois Rd
High Ridge, MO 63049-2668

Federally qualified health center certification: CCN 261084

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
COMTREA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 27, 2014
Last certification
Aug 27, 2014
Ownership / control type
For profit – corporation
Facility address
1817 Gravois Road
High Ridge, MO 63049

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory
Tax ID family
Pathways Community Behavioral Healthcare Inc127 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

View all 24

Locations

6005 Cedar Hill Rd
Cedar Hill, MO 63016
Phone (636) 274-0555

1817 Gravois Rd
High Ridge, MO 63049
Phone (636) 376-0079

405 Main St
Hillsboro, MO 63050
Phone (636) 677-9977

5 Bridle Ridge Spur
Hillsboro, MO 63050

4300 Gravois Rd
House Springs, MO 63051
Phone (636) 321-0150

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Joi Niedner Individual Corporate OfficerBoard Member Jul 1, 2023
Dennis Daugherty Individual Corporate OfficerBoard Member Jul 1, 2023
Rebecca Culler Individual Corporate OfficerBoard Member Jul 1, 2023
Robert Dawson Individual Corporate OfficerBoard Member Jul 1, 2023
Rodney Reid Individual Corporate OfficerBoard Member Jul 1, 2023
Teresa L Porter Individual W-2 Managing EmployeeCredentialing Manager Jul 1, 2023
Shari Bax Individual Corporate OfficerBoard Member Jul 1, 2023
Tim Glasscock Individual Corporate OfficerBoard Member Jul 1, 2023
Patricia Cleveland Individual Corporate OfficerBoard Member Jul 1, 2023
Kathy Carter Individual Corporate OfficerBoard Member Jul 1, 2023
Brian C Baker Individual Corporate OfficerBoard Member Jul 1, 2023
Tim Alan Larimore Individual Corporate OfficerBoard Member Jul 1, 2023
Leticia Villafain Individual Corporate OfficerBoard Member Jul 1, 2023
Alan W Stevens Individual Corporate DirectorExecutive VP Jul 1, 2023

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Compass Health IncSaint Peters, MO, CCN 261161 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 11, 2018

Practitioners & affiliated clinicians

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1356751648",
    "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": "844-853-8937",
            "fax_number": "636-296-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 GRAVOIS RD",
            "city": "HIGH RIDGE",
            "state": "MO",
            "postal_code": "630492668",
            "telephone_number": "636-376-0079",
            "fax_number": "636-677-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "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": "636-466-6452"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMTREA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in High Ridge, MO

Sources for this page

Verify at the official NPI Registry.