COMPASS HEALTH, INC. (NPI# 1073978664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073978664 |
| Entity Type | Organization |
| Organization Name | COMPASS HEALTH, INC. |
| Other Organization Name | FAMILY DENTAL CENTER COLUMBIA EAST |
| Practice Address |
2475 Broadway Bluffs Dr Suite 200 Columbia MO 65201-8138 |
| Mailing Address |
1800 Community Clinton MO 64735-8804 |
| Practice Telephone | 5737779282 |
| Practice Fax Number | 5737779569 |
| Mailing Telephone | 6608858131 |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | TERESA L PORTER (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6608908156 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1073978664 | 05 |
| Other Name | Type Code |
|---|---|
| Family Dental Center Columbia East | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052553 | Compass Health, Inc. | Clinic/Center | 1319 E Highway 24 Ste B, Moberly, MO 65270-3682 | 2020-01-13 |
| 1063056307 | Compass Health, Inc. | Clinic/Center | 3075 New Town Blvd, Saint Charles, MO 63301 | 2019-10-30 |
| 1124303698 | Compass Health, Inc. | Pharmacy | 200 W Florence St, Windsor, MO 65360-1127 | 2011-10-17 |
| 1235324260 | Compass Health, Inc. | Clinic/Center | 546 1st Capitol Dr, Suite 1, Saint Charles, MO 63301-2789 | 2007-09-12 |
| 1891980827 | Compass Health, Inc. | Clinic/Center | 851e 5th Street,suite 132, Washington, MO 63090-3128 | 2007-09-12 |
| 1841347499 | Compass Health, Inc. | Psychiatric Residential Treatment Facility | 1032 Crosswinds Court, Wentzville, MO 63385 | 2007-01-05 |
| 1033741509 | Compass Health, Inc. | Clinic/Center | 204 N Cedar St, Nevada, MO 64772-2310 | 2020-02-12 |
| 1649814716 | Compass Health, Inc. | Clinic/Center | 3785 New Town Blvd, Saint Charles, MO 63301-4358 | 2019-11-01 |
| 1750924312 | Compass Health, Inc. | Clinic/Center | 3501 Berrywood Dr, Columbia, MO 65201-6584 | 2019-10-25 |
| 1841852613 | Compass Health, Inc. | Clinic/Center | 1000 W Nifong Blvd Bldg 6, Columbia, MO 65203-5615 | 2019-07-02 |
| Street Address |
2475 BROADWAY BLUFFS DR SUITE 200 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-8138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477543932 | Sujatha Sekar Sivaraman | Dentist | 2475 Broadway Bluffs Dr, Columbia, MO 65201-8148 | 2005-10-26 |
| 1245868579 | David Kim | Student in an Organized Health Care Education/Training Program | 2475 Broadway Bluffs Dr, Columbia, MO 65201-8148 | 2020-03-31 |
| 1972005262 | Kristal Deann Raya | Dentist | 2475 Broadway Bluffs Dr, Columbia, MO 65201-8148 | 2018-03-02 |
| 1992187843 | Compass Health, Inc. | Clinic/Center | 2475 Broadway Bluffs Dr, Columbia, MO 65201-8148 | 2015-06-26 |
| 1609114214 | Labone LLC | Clinical Medical Laboratory | 2475 Broadway Bluffs Dr, Ste 120, Columbia, MO 65201-8138 | 2013-01-17 |
| 1275883290 | Darla K Despain | Nurse Practitioner | 2475 Broadway Bluffs Dr, Columbia, MO 65201 | 2012-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235753914 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 4605 Monticello Rd Bldg C, Columbia, SC 29203-4156 | 2020-05-29 |
| 1407487382 | Family First Health Corporation | Clinic/Center | 430 Walnut St, Columbia, PA 17512-1295 | 2020-01-30 |
| 1295202356 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 2600 Wheat St, Columbia, SC 29205-2315 | 2018-10-26 |
| 1689160939 | Maury Regional Hospital | Clinic/Center | 98 Experiment Station Lane, Columbia, TN 38401-4700 | 2018-07-10 |
| 1285188466 | Family First Health Corporation | Clinic/Center | 369 Locust St, First Floor, Columbia, PA 17512-1383 | 2016-08-05 |
| 1699157461 | Cumberland Family Medical Center, Inc. | Clinic/Center | 870 Indian Dr, Columbia, KY 42728-1813 | 2015-06-29 |
| 1164804720 | Cumberland Family Medical Center, Inc. | Clinic/Center | 158 Colonel Casey Drive, Columbia, KY 42728 | 2015-06-19 |
| 1790170389 | Maury Regional Hospital | Clinic/Center | 854 W James M Campbell Blvd Ste 301, Columbia, TN 38401-4659 | 2015-04-01 |
| 1760871115 | Eau Claire Cooperative Health Centers, Inc. | Clinic/Center | 2400 Waites Rd, Columbia, SC 29204-1325 | 2015-01-22 |
| 1093051245 | Eau Claire Cooperative Health Center, Inc. | Clinic/Center | 4206 N Main St, Columbia, SC 29203-5864 | 2012-12-17 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on COMPASS HEALTH, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.