NPIMap

Organization Active NPI

Compass Health, Inc

Doing business as Comtrea

  • Federally Qualified Health Center (FQHC)
  • Hillsboro, MO
National Provider Identifier
1477800340
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
4 Hickory Ridge Rd
Ste 600
Hillsboro, MO 63050-5100
Phone
(636) 481-6040
Fax
(636) 677-9179
NPI assigned
Aug 10, 2012
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

4 Hickory Ridge Rd
Ste 600
Hillsboro, MO 63050-5100

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
O20230914000942 MO Part A Provider - Federally Qualified Health Center (FQHC) 1951206754 Practice locations: Hillsboro, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477800340. Details of each certification follow.

Federally qualified health center certification: CCN 261062

Legal name
COMPASS HEALTH INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 2, 2013
Last certification
May 2, 2013
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Nov 26, 1974 in MO
Enrollment address
4 Hickory Ridge Rd
Ste 600
Hillsboro, MO 63050-5117

Other NPIs on the same Medicare enrollment 6

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

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
26D2333874Compass Health - Hillsboro4 Hickory Ridge Road Suite 600, Hillsboro, MO 63050Certificate 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

21 Municipal Dr
Arnold, MO 63010
Phone (636) 296-6206

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24622/brand/1/csg/1/fhir/r4

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 Corporate OfficerBoard Member Jul 1, 2023
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

Change-of-ownership history 2

DateEventCounterparty
Jul 1, 2023 Change of OwnershipThis provider was the buyer Hickory PlazaCCN 261062, MO, NPI 1477800340
Jul 1, 2023 Change of OwnershipThis provider was the seller Compass Health IncCCN 261062, MO, NPI 1477800340

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1477800340",
    "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": "636-931-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HICKORY RIDGE RD",
            "address_2": "STE 600",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630505100",
            "telephone_number": "636-481-6040",
            "fax_number": "636-677-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-10",
        "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 Hillsboro, MO

Sources for this page

Verify at the official NPI Registry.