NPIMap

Organization Active NPI

Compass Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Butler, MO
National Provider Identifier
1386022002
Registry record updated Jan 23, 2019
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
805 N Orange St
Butler, MO 64730-9382
Phone
(888) 403-1071
NPI assigned
May 14, 2015
Last updated
Jan 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
Teresa 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

805 N Orange St
Butler, MO 64730-9382

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
O20150618001909 MO Part A Provider - Federally Qualified Health Center (FQHC) 1951206754 Practice locations: Butler, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386022002. Details of each certification follow.

Federally qualified health center certification: CCN 261097

Legal name
COMPASS HEALTH INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 18, 2015
Last certification
Jun 18, 2015
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
May 3, 2004 in MO
Enrollment address
805 N Orange St
Butler, MO 64730-9382

National Provider Directory

National Provider Directory
Tax ID family
Compass Health 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

805 N Orange St
Butler, MO 64730
Phone (417) 448-9247

Ownership & related parties

All disclosed owners & managing parties 12

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 Feb 4, 2022
Dennis Daugherty Individual Corporate OfficerBoard Member Feb 4, 2022
Rebecca Culler Individual Corporate OfficerBoard Member Feb 4, 2022
Rodney Reid Individual Corporate OfficerBoard Member Feb 4, 2022
Teresa L Porter Individual W-2 Managing EmployeeCredentialing Manager Apr 7, 2015
Keith Schafer Individual Corporate OfficerBoard Member Feb 4, 2022
Curtis Cain Individual Corporate OfficerBoard Member Feb 4, 2022
Tim Glasscock Individual Corporate OfficerBoard Member Feb 4, 2022
Patricia Cleveland Individual Corporate OfficerBoard Member Feb 4, 2022
Brian C Baker Individual Corporate OfficerBoard Member Feb 4, 2022
Tim Alan Larimore Individual Corporate OfficerBoard Member Feb 4, 2022
Timothy Swinfard Individual Corporate OfficerCeo Apr 7, 2015
Corporate DirectorCeo Apr 7, 2015

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

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1386022002",
    "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": "805 N ORANGE ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647309382",
            "telephone_number": "888-403-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "TERESA",
        "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 Butler, MO

Sources for this page

Verify at the official NPI Registry.