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Compass Health, Inc.

Organization Active NPI Federally Qualified Health Center (FQHC) · Union, MO

NPI 1851626741 · NPPES record last updated Oct 16, 2019

Key facts

NPI
1851626741
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
COMPASS HEALTH, INC.
Practice address
1780 Old Hwy 50 E
Suite 102
Union, MO 63084-3397
Phone
(636) 584-0859
Fax
(636) 583-2885
NPI assigned
Oct 9, 2009
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2333830Compass Health - Union
1780 Old Highway 50 East, Union, MO 63084		Certificate of waiverNov 11, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Federally qualified health center certification: CCN 261037

Legal name
COMPASS HEALTH INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 21, 2010
Last certification
Jan 21, 2010
Ownership / control type
For profit – corporation
Most recent change of ownership
Oct 1, 2014 (1 total)
Organization structure
Corporation · Non-profit
Enrollment address
1780 Old Highway 50 E
Ste 102
Union, MO 63084-3397

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 Officer
Board Member		 Feb 4, 2022
Rebecca Culler
Individual 		Corporate Officer
Board Member		 Feb 4, 2022
Rodney Reid
Individual 		Corporate Officer
Board Member		 Feb 4, 2022
Teresa L Porter
Individual 		W-2 Managing Employee Jul 30, 2008
Keith Schafer
Individual 		Corporate Officer
Board Member		 Feb 4, 2022
Curtis Cain
Individual 		Corporate Officer
Board Member		 Feb 4, 2022
Tim Glasscock
Individual 		Corporate Officer
Board Member		 Feb 4, 2022
Patricia Cleveland
Individual 		Corporate Officer
Board Member		 Feb 4, 2022
Brian C Baker
Individual 		Corporate Officer
Board Member		 Feb 4, 2022
Tim Alan Larimore
Individual 		Corporate Officer
Board Member		 Feb 4, 2022
Timothy Swinfard
Individual 		Corporate Officer
Ceo		 Jan 15, 2013
Corporate Director
Ceo		 Jan 15, 2013
Alan W Stevens
Individual 		Corporate Director
Executive VP		 Feb 4, 2022

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 Inc
Saint Peters, MO · CCN 261161		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 11, 2018

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20141113001522 MO Part a Provider - Federally Qualified Health Center (FQHC) 1951206754 Practice locations: Union, MO

National Provider Directory

Tax ID family
Pathways Community Beha (126 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

1780 Old Hwy 50 E
Suite 102
Union, MO 63084-3397

Mailing address

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

Other names

  • Compass Health Doing business as

Other providers in Union, MO

All providers in Union, MO · Federally Qualified Health Center (FQHC) in Missouri

Sources for this page

Verify at the official NPI Registry.