| Compass Health, Inc. | |
|
101 Progress Pkwy Sullivan MO 63080-2359 | |
| (660) 890-8186 | |
| Not Available |
| Full Name | Compass Health, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Progress Pkwy, Sullivan, Missouri |
| Authorized Official Name and Position | Teresa Porter (CREDENTIALING/CONTRACTING MANAGER) |
| Authorized Official Contact | 6608908186 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compass Health, Inc. 1800 Community Clinton MO 64735-8804 Ph: (660) 890-8186 | Compass Health, Inc. 101 Progress Pkwy Sullivan MO 63080-2359 Ph: (660) 890-8186 |
| NPI Number | 1730625104 |
|---|---|
| Provider Enumeration Date | 01/10/2017 |
| Last Update Date | 01/10/2017 |
| Medicare PECOS PAC ID | 1951206754 |
|---|---|
| Medicare Enrollment ID | O20170316001427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730625104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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