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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 : 1033741509
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 : 660-890-8156
Fax Number :
Provider Business Practice Location Address
First Line : 301 W AUSTIN BLVD
Second Line :
City : NEVADA
State : MO
Zip : 64772-3124
Country : US
Telephone Number : 844-853-8937
Fax Number :
Authorized Official
Title or Position : CREDENTIALING & CONTRACTING MANAGER
Name : TERESA L PORTER
Credential :
Telephone Number : 660-890-8156
Provider Enumeration Date : 02/12/2020
Last Update Date : 12/06/2022

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