Active NPI
Compass Health, Inc.
- Federally Qualified Health Center (FQHC)
- Washington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- COMPASS HEALTH, INC.
- Practice address
- 550 E 14TH St
Washington, MO 63090-4535 - Phone
- (844) 853-8937
- NPI assigned
- Jan 5, 2024
- Last updated
- Jan 5, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
550 E 14TH St
Washington, MO 63090-4535
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240429001079 | MO | Part A Provider - Federally Qualified Health Center (FQHC) | 1951206754 | Practice locations: Washington, MO |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1518737915. Details of each certification follow.
Federally qualified health center certification: CCN 261978
- Legal name
- COMPASS HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Apr 23, 2024
- Last certification
- Apr 23, 2024
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Nov 19, 1974 in MO
- Enrollment address
- 550 E 14TH St
Washington, MO 63090-4535
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2333628 | Compass Health Washington | Certificate of waiver | Nov 6, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Pathways Community Beha
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.
-
- Federally Qualified Health Center (FQHC)
- Arnold, MO
- NPI 1396512497
-
- Federally Qualified Health Center (FQHC)
- Columbia, MO
- NPI 1447952981
-
dba Comtrea
- Federally Qualified Health Center (FQHC)
- Hillsboro, MO
- NPI 1477800340
-
- Adolescent and Children Mental Health Clinic/Center
- Festus, MO
- NPI 1497354781
-
- Federally Qualified Health Center (FQHC)
- Higginsville, MO
- NPI 1497427678
-
- Mental Illness Community Based Residential Treatment Facility
- Rolla, MO
- NPI 1528125788
-
- Federally Qualified Health Center (FQHC)
- Herculaneum, MO
- NPI 1548738719
-
- Federally Qualified Health Center (FQHC)
- Rolla, MO
- NPI 1558258632
-
- Federally Qualified Health Center (FQHC)
- Festus, MO
- NPI 1568128148
-
- Federally Qualified Health Center (FQHC)
- Columbia, MO
- NPI 1578485504
-
- Federally Qualified Health Center (FQHC)
- Columbia, MO
- NPI 1598672883
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Joi Niedner | Corporate Officer | Apr 12, 2024 | |
| Dennis Daugherty | Corporate Officer | Apr 12, 2024 | |
| Rebecca Culler | Corporate Officer | Apr 12, 2024 | |
| Robert Dawson | Corporate Officer | Apr 12, 2024 | |
| Rodney Reid | Corporate Officer | Apr 12, 2024 | |
| Teresa L Porter | W-2 Managing Employee | Apr 12, 2024 | |
| Shari Bax | Corporate Officer | Apr 12, 2024 | |
| Tim Glasscock | Corporate Officer | Apr 24, 2024 | |
| Patricia Cleveland | Corporate Officer | Apr 12, 2024 | |
| Kathy Carter | Corporate Officer | Apr 12, 2024 | |
| Brian C Baker | Corporate Officer | Apr 12, 2024 | |
| Tim Alan Larimore | Corporate Officer | Apr 12, 2024 | |
| Leticia Villafain | Corporate Officer | Apr 12, 2024 | |
| Alan W Stevens | Corporate Director | Apr 12, 2024 |
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Compass Health Inc | 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": "1704412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704412800000",
"number": "1518737915",
"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": "550 E 14TH ST",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630904535",
"telephone_number": "844-853-8937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASS HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-05",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, MO
- Elizabeth W. Clary, D.M.D.
- Clear Mind Counseling
- Isaac I Cohen, MD
- Taylor Cokley, CCC-SLP
- Kim D Colter, M.D.
- Compass Health, Inc. (Pathways Community Behavioral Healthcare)
- Comprehensive Care, Inc.. (Comprehensive Medical Homecare Services)
- Comprehensive Eye Care, LTD.
- Comprehensive Home Care LLC
- Comprehensive Surgical, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.