Active NPI
Compass Health, Inc
- Federally Qualified Health Center (FQHC)
- Saint Charles, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- COMPASS HEALTH, INC
- Practice address
- 2000 Elm St
Saint Charles, MO 63301-1750 - Phone
- (844) 853-8937
- NPI assigned
- Apr 8, 2024
- Last updated
- Apr 8, 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 | NU | Primary |
Addresses
Primary practice location
2000 Elm St
Saint Charles, MO 63301-1750
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 |
|---|---|---|---|---|
| O20240709003616 | MO | Part A Provider - Federally Qualified Health Center (FQHC) | 1951206754 | Practice locations: Saint Charles, MO |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1740033133. Details of each certification follow.
Federally qualified health center certification: CCN 261985
- Legal name
- COMPASS HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jun 27, 2024
- Last certification
- Jun 27, 2024
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Enrollment address
- 2000 Elm St
Saint Charles, MO 63301-1750
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 |
|---|---|---|---|
| 26D2333843 | Compass Health - Blackhurst Elementary Clinic | Certificate of waiver | Nov 11, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Pathways Community Behavioral Healthcare Inc
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 1659141067
-
dba Fox Comprehensive Health Center
- Federally Qualified Health Center (FQHC)
- Arnold, MO
- NPI 1669844130
-
- Federally Qualified Health Center (FQHC)
- Crystal City, MO
- NPI 1700426913
-
- Federally Qualified Health Center (FQHC)
- Weldon Spring, MO
- NPI 1730878075
-
- Federally Qualified Health Center (FQHC)
- High Ridge, MO
- NPI 1750139473
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Nevada, MO
- NPI 1770811382
-
- Federally Qualified Health Center (FQHC)
- Arnold, MO
- NPI 1801215504
-
- Federally Qualified Health Center (FQHC)
- Hillsboro, MO
- NPI 1801669320
-
dba Comtrea, Inc.
- Children's Substance Abuse Rehabilitation Facility
- Festus, MO
- NPI 1801925185
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Clinton, MO
- NPI 1841140803
-
- Federally Qualified Health Center (FQHC)
- Saint Charles, MO
- NPI 1649814716
Locations
2000 Elm St
Saint Charles, MO 63301
Phone (636) 443-4500
Ownership & related parties
All disclosed owners & managing parties 16
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 | Jun 26, 2024 | |
| Dennis Daugherty | Corporate Officer | Jun 26, 2024 | |
| Rebecca Culler | Corporate Officer | Jun 26, 2024 | |
| Robert Dawson | Corporate Officer | Jun 26, 2024 | |
| Susan Bowles | Corporate Officer | Nov 12, 2024 | |
| Rodney Reid | Corporate Officer | Jun 26, 2024 | |
| Teresa L Porter | W-2 Managing Employee | Jun 26, 2024 | |
| Shari Bax | Corporate Officer | Jun 26, 2024 | |
| Tim Glasscock | Corporate Officer | Jun 26, 2024 | |
| Patricia Cleveland | Corporate Officer | Jun 26, 2024 | |
| Kathy Carter | Corporate Officer | Jun 26, 2024 | |
| Brian C Baker | Corporate Officer | Jun 26, 2024 | |
| Tim Alan Larimore | Corporate Officer | Jun 26, 2024 | |
| Leticia Villafain | Corporate Officer | Jun 26, 2024 | |
| Timothy Swinfard | Corporate Director | Nov 12, 2024 | |
| Alan W Stevens | Corporate Director | Jun 26, 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 |
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pediatrics Physician
- Saint Louis, MO
- NPI 1154431336
-
- Pediatric Nurse Practitioner
- Wentzville, MO
- NPI 1679521520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712534400000",
"number": "1740033133",
"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": "2000 ELM ST",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633011750",
"telephone_number": "844-853-8937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASS HEALTH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-08",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"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 Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.