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NPI Code Detail

MEDICARE: COMPASS HEALTH, INC.

MEDICARE: COMPASS HEALTH, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144415175
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPASS HEALTH, INC.
Provider Business Mailing Address
First Line : 1800 COMMUNITY
Second Line :
City : CLINTON
State : MO
Zip : 64735-8804
Country : US
Telephone Number : 660-890-8186
Fax Number :
Provider Business Practice Location Address
First Line : 19515 BRUNE PKWY
Second Line :
City : WARRENTON
State : MO
Zip : 63383-6505
Country : US
Telephone Number : 636-456-1500
Fax Number :
Authorized Official
Title or Position : CREDENTIALING MANAGER
Name : TERESA PORTER
Credential :
Telephone Number : 660-890-8156
Provider Enumeration Date : 09/12/2007
Last Update Date : 01/17/2019

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Directions to “COMPASS HEALTH, INC. ” Practice Location

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