NPIMap

Organization Active NPI

Compass Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Arnold, MO
National Provider Identifier
1396512497
Registry record updated Dec 8, 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
Practice address
148 Richardson Xing
Arnold, MO 63010-6023
Phone
(844) 853-8937
NPI assigned
Dec 8, 2023
Last updated
Dec 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 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

148 Richardson Xing
Arnold, MO 63010-6023

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240208001492 MO Part A Provider - Federally Qualified Health Center (FQHC) 1951206754 Practice locations: Arnold, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396512497. Details of each certification follow.

Federally qualified health center certification: CCN 261976

Legal name
COMPASS HEALTH INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 29, 2024
Last certification
Jan 29, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 26, 1974 in MO
Enrollment address
148 Richardson Xing
Arnold, MO 63010-6023

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
26D2333853Compass Health - Arnold Richardson Xing148 Richardson Xing, Arnold, MO 63010Certificate of waiverNov 11, 2027

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

148 Richardson Xing
Arnold, MO 63010
Phone (314) 454-5437

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
Joi Niedner Individual Corporate OfficerBoard Member Jan 29, 2024
Dennis Daugherty Individual Corporate OfficerBoard Member Jan 29, 2024
Robert Dawson Individual Corporate OfficerBoard Member Jan 29, 2024
Rodney Reid Individual Corporate OfficerBoard Member Jan 29, 2024
Teresa L Porter Individual W-2 Managing EmployeeCredentialing Manager Jan 29, 2024
Shari Bax Individual Corporate OfficerBoard Member Jan 29, 2024
Tim Glasscock Individual Corporate OfficerBoard Member Jan 29, 2024
Patricia Cleveland Individual Corporate OfficerBoard Member Jan 29, 2024
Kathy Carter Individual Corporate OfficerBoard Member Jan 29, 2024
Brian C Baker Individual Corporate OfficerBoard Member Jan 29, 2024
Tim Alan Larimore Individual Corporate OfficerBoard Member Jan 29, 2024
Leticia Villafain Individual Corporate OfficerBoard Member Jan 29, 2024
Alan W Stevens Individual Corporate DirectorExecutive VP Jan 29, 2024

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": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1396512497",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 RICHARDSON XING",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106023",
            "telephone_number": "844-853-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "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": []
}

Other providers in Arnold, MO

Sources for this page

Verify at the official NPI Registry.