Compass Health, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Arnold, MO
NPI 1669844130 · NPPES record last updated Aug 17, 2023
Key facts
- NPI
- 1669844130
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- COMPASS HEALTH, INC
- Practice address
- 849 Jeffco Blvd
Arnold, MO 63010-1409 - Phone
- (636) 287-0440
- Fax
- (636) 333-1827
- NPI assigned
- Oct 23, 2015
- Organization subpart
- No
Authorized official
- Name
- Teresa L Porter
- Title
- Credentialing Manager
- Phone
- (636) 466-6452
Corporate family (same tax ID) 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Federally qualified health center certification: CCN 261118
- Legal name
- COMPASS HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- May 18, 2016
- Last certification
- May 18, 2016
- Ownership / control type
- For profit – corporation
- Most recent change of ownership
- Jul 1, 2023 (1 total)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Nov 26, 1974 in MO
- Enrollment address
- 849 Jeffco Blvd
Arnold, MO 63010-1409
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Joi Niedner |
Corporate Officer |
Jul 1, 2023 | |
| Dennis Daugherty |
Corporate Officer |
Jul 1, 2023 | |
| Rebecca Culler |
Corporate Officer |
Jul 1, 2023 | |
| Robert Dawson |
Corporate Officer |
Jul 1, 2023 | |
| Rodney Reid |
Corporate Officer |
Jul 1, 2023 | |
| Teresa L Porter |
W-2 Managing Employee |
Jul 1, 2023 | |
| Shari Bax |
Corporate Officer |
Jul 1, 2023 | |
| Tim Glasscock |
Corporate Officer |
Jul 1, 2023 | |
| Patricia Cleveland |
Corporate Officer |
Jul 1, 2023 | |
| Kathy Carter |
Corporate Officer |
Jul 1, 2023 | |
| Brian C Baker |
Corporate Officer |
Jul 1, 2023 | |
| Tim Alan Larimore |
Corporate Officer |
Jul 1, 2023 | |
| Leticia Villafain |
Corporate Officer |
Jul 1, 2023 | |
| Alan W Stevens |
Corporate Director |
Jul 1, 2023 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Compass Health Inc |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jul 11, 2018 |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Jul 1, 2023 | Change of Ownership |
Community Treatment Inc |
| Jul 1, 2023 | Change of Ownership |
Compass Health Inc |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230912000407 | MO | Part a Provider - Federally Qualified Health Center (FQHC) | 1951206754 | Practice locations: Arnold, MO |
National Provider Directory
- Tax ID family
- Pathways Community Beha
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
849 Jeffco Blvd
Arnold, MO 63010-1409
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (844) 853-8937
Other names
- Fox Comprehensive Health Center
Other providers in Arnold, MO
- Alysha Collins
- Elizabeth Collins
- Jessica Lee Collins
- Compass Health, Inc
- Compass Health, Inc
- Compass Health, Inc
- Complete Chiropractic Inc.
- Masyn Conley
- Consolidated School District No. 6
- Angela Carol Cook
All providers in Arnold, MO · Federally Qualified Health Center (FQHC) in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.