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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)

General Provider Information

NPI Number : 1922719871
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPASS HEALTH, INC
Provider Business Mailing Address
First Line : PO BOX 803919
Second Line :
City : KANSAS CITY
State : MO
Zip : 64180-3919
Country : US
Telephone Number : 844-853-8937
Fax Number :
Provider Business Practice Location Address
First Line : 111 MEXICO CT
Second Line :
City : SAINT PETERS
State : MO
Zip : 63376-5102
Country : US
Telephone Number : 844-853-8937
Fax Number :
Authorized Official
Title or Position : CREDENTIALING MANAGER
Name : TERESA L PORTER
Credential :
Telephone Number : 660-890-8156
Provider Enumeration Date : 12/12/2022
Last Update Date : 12/12/2022

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