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General NPI Number Information
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NPI Number | 1689646143
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Entity Type | Organization
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Legal Business Name | COMPASS HEALTH, INC.
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 10/01/2020
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Provider Practice Location Address
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Address Line | 1001 W WORLEY ST
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City | COLUMBIA
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State | MO
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Zip | 65203-2037
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Country | US
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Telephone | 573-214-2314
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Fax | 573-607-2885
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Provider Business Mailing Address
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Address Line | 1800 COMMUNITY
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City | CLINTON
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State | MO
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Zip | 64735-8804
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Country | US
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Telephone | 660-885-8131
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | TERESA L PORTER
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Credential |
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Telephone | 660-890-8156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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