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NPI Code Detail

MEDICARE: COMPASS BEHAVIORAL HEALTH

MEDICARE: COMPASS BEHAVIORAL HEALTH
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)STATE OF KANSAS 001KS

General Provider Information

NPI Number : 1922058510
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPASS BEHAVIORAL HEALTH
Provider Business Mailing Address
First Line : PO BOX 1905
Second Line :
City : GARDEN CITY
State : KS
Zip : 67846-1905
Country : US
Telephone Number : 620-275-0644
Fax Number : 620-272-0239
Provider Business Practice Location Address
First Line : 531 CAMPUS VIEW ST
Second Line :
City : GARDEN CITY
State : KS
Zip : 67846-7904
Country : US
Telephone Number : 620-275-0644
Fax Number : 620-272-0239
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : LISA SOUTHERN
Credential :
Telephone Number : 620-275-0644
Provider Enumeration Date : 05/12/2006
Last Update Date : 05/17/2023

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531 CAMPUS VIEW ST
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Practice Fax:
1407025356 — MS. ERMA R MAGIE AAPS
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GARDEN CITY, KS
67846-7904
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1275829293 — KIMBERLY ANN FISHER
Practice Location Address:
531 CAMPUS VIEW ST
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Directions to “COMPASS BEHAVIORAL HEALTH ” Practice Location

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