Organization Active NPI

Compass Health, Inc.

Doing business as Family Health Center Columbia East

  • Federally Qualified Health Center (FQHC)
  • Columbia, MO
National Provider Identifier
1992187843
Registry record updated Oct 29, 2020
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
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 Beha128 organizations share this tax ID, including this one

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.

View all 16

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.

NameRoleSinceShare
Joi Niedner Individual Corporate OfficerBoard Member Jul 1, 2025
Dennis Daugherty Individual Corporate OfficerBoard Member Jul 1, 2025
Rebecca Culler Individual Corporate OfficerBoard Member Jul 1, 2025
Robert Dawson Individual Corporate OfficerBoard Member Jul 1, 2025
Susan Bowles Individual Corporate OfficerBoard Member Jul 1, 2025
Rodney Reid Individual Corporate OfficerBoard Member Jul 1, 2025
Teresa L Porter Individual W-2 Managing EmployeeCredentialing Manager Sep 1, 2020
Shari Bax Individual Corporate OfficerBoard Member Jul 1, 2025
Ross Henson Individual Corporate OfficerBoard Member Jul 1, 2025
Tim Glasscock Individual Corporate OfficerBoard Member Jul 1, 2025
Kathy Carter Individual Corporate OfficerBoard Member Jul 1, 2025
Brian C Baker Individual Corporate OfficerBoard Member Jul 1, 2025
Tim Alan Larimore Individual Corporate OfficerBoard Member Jul 1, 2025
Leticia Villafain Individual Corporate OfficerBoard Member Jul 1, 2025
Alan W Stevens Individual Corporate OfficerChief Operations 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.

FacilityTypeRoleSince
Compass Health IncSaint Peters, MO, CCN 261161 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 11, 2018

Change-of-ownership history 2

DateEventCounterparty
Sep 1, 2020 Change of OwnershipThis provider was the buyer Family Health Center Columbia EastCCN 261101, MO, NPI 1992187843
Sep 1, 2020 Change of OwnershipThis provider was the seller Compass Health IncCCN 261101, MO, NPI 1992187843

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

Sources for this page

Verify at the official NPI Registry.