NPIMap

Organization Active NPI

Compass Health, Inc.

Doing business as Pathways Community Behavioral Healthcare

  • Federally Qualified Health Center (FQHC)
  • El Dorado Springs, MO
National Provider Identifier
1710380688
Registry record updated Feb 10, 2022
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
Pathways Community Behavioral Healthcare
Practice address
107 W Broadway St
El Dorado Springs, MO 64744-1133
Phone
(660) 890-8186
NPI assigned
Oct 6, 2014
Last updated
Feb 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Teresa Porter
Title
Credentialing/Contracting Manager
Phone
(660) 890-8156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X MO Primary

Addresses

Primary practice location

107 W Broadway St
El Dorado Springs, MO 64744-1133

Mailing address

1800 Community
Clinton, MO 64735-8804
Phone (660) 890-8156

Other names 1

  • Pathways Community Behavioral Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141124000016 MO Part A Provider - Federally Qualified Health Center (FQHC) 1951206754 Practice locations: El Dorado Springs, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710380688. Details of each certification follow.

Federally qualified health center certification: CCN 261094

Legal name
COMPASS HEALTH INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 16, 2014
Last certification
Dec 16, 2014
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
May 3, 2004 in MO
Enrollment address
107 W Broadway St
El Dorado Springs, MO 64744-1133

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

107 W Broadway St
El Dorado Springs, MO 64744
Phone (417) 876-5314

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
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 Employee Jul 30, 2008
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 Jan 15, 2013
Alan W Stevens Individual Corporate Director Jul 1, 2012

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": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1710380688",
    "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": "107 W BROADWAY ST",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647441133",
            "telephone_number": "660-890-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CREDENTIALING/CONTRACTING MANAGER",
        "authorized_official_telephone_number": "660-890-8156"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways Community Behavioral Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado Springs, MO

Sources for this page

Verify at the official NPI Registry.