Active NPI
Compass Health, Inc.
Doing business as Family Health Center Columbia East
- Federally Qualified Health Center (FQHC)
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- COMPASS HEALTH, INC.
- Doing business as
- Family Health Center Columbia East
- Practice address
- 2475 Broadway Bluffs Dr
Columbia, MO 65201-8148 - Phone
- (573) 777-9282
- Fax
- (573) 777-9569
- NPI assigned
- Jun 26, 2015
- Last updated
- Oct 29, 2020
- 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
- (660) 890-8156
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | MO | Primary |
Addresses
Primary practice location
2475 Broadway Bluffs Dr
Columbia, MO 65201-8148
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other names 1
- Family Health Center Columbia East
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201103002117 | MO | Part A Provider - Federally Qualified Health Center (FQHC) | 1951206754 | Practice locations: Columbia, MO |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1992187843. Details of each certification follow.
Federally qualified health center certification: CCN 261101
- Legal name
- COMPASS HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Sep 2, 2015
- Last certification
- Sep 2, 2015
- Ownership / control type
- For profit – partnership
- Most recent change of ownership
- Sep 1, 2020 (1 total)
- Organization structure
- Corporation
- Incorporated
- Nov 26, 1974 in MO
- Enrollment address
- 2475 Broadway Bluffs Dr
Columbia, MO 65201-8148
National Provider Directory
National Provider Directory- Tax ID family
- Pathways Community Beha
Organizations with this tax ID in the same state 16
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)
- Saint Peters, MO
- NPI 1922719871
-
dba Comtrea
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Festus, MO
- NPI 1942833686
-
- Federally Qualified Health Center (FQHC)
- Saint Charles, MO
- NPI 1972202919
-
- Federally Qualified Health Center (FQHC)
- House Springs, MO
- NPI 1982023529
-
- Community/Behavioral Health Agency
- Crystal City, MO
- NPI 1982360939
-
- Federally Qualified Health Center (FQHC)
- Linn Creek, MO
- NPI 1992591960
-
- Federally Qualified Health Center (FQHC)
- Nevada, MO
- NPI 1942746052
-
dba Pathways Community Behavioral Healthcare
- Adolescent and Children Mental Health Clinic/Center
- Wentzville, MO
- NPI 1952439523
-
- Federally Qualified Health Center (FQHC)
- El Dorado Springs, MO
- NPI 1962316869
Ownership & related parties
All disclosed owners & managing parties 15
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 | Jul 1, 2025 | |
| Dennis Daugherty | Corporate Officer | Jul 1, 2025 | |
| Rebecca Culler | Corporate Officer | Jul 1, 2025 | |
| Robert Dawson | Corporate Officer | Jul 1, 2025 | |
| Susan Bowles | Corporate Officer | Jul 1, 2025 | |
| Rodney Reid | Corporate Officer | Jul 1, 2025 | |
| Teresa L Porter | W-2 Managing Employee | Sep 1, 2020 | |
| Shari Bax | Corporate Officer | Jul 1, 2025 | |
| Ross Henson | Corporate Officer | Jul 1, 2025 | |
| Tim Glasscock | Corporate Officer | Jul 1, 2025 | |
| Kathy Carter | Corporate Officer | Jul 1, 2025 | |
| Brian C Baker | Corporate Officer | Jul 1, 2025 | |
| Tim Alan Larimore | Corporate Officer | Jul 1, 2025 | |
| Leticia Villafain | Corporate Officer | Jul 1, 2025 | |
| Alan W Stevens | Corporate Officer | Sep 1, 2020 |
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 |
Change-of-ownership history 2
| Date | Event | Counterparty |
|---|---|---|
| Sep 1, 2020 | Change of Ownership | Family Health Center Columbia East |
| Sep 1, 2020 | Change of Ownership | Compass Health Inc |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603929600000",
"number": "1992187843",
"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": "660-885-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2475 BROADWAY BLUFFS DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018148",
"telephone_number": "573-777-9282",
"fax_number": "573-777-9569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASS HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-26",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"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": "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": "Family Health Center Columbia East",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbia, MO
- Compass Health, Inc. (McCambridge Center)
- Compass Health, Inc.
- Compass Health, Inc. (Family Health Center)
- Compass Health, Inc.
- Compass Health, Inc.
- Compass Therapy Solutions
- Compassus HH of Missouri I, LLC (Compassus Home Health)
- Comprehensive Human Services
- Matthew J Concannon, MD
- Samantha Lauren Conde, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.