Organization
COMPASS HEALTH, INC
Active
Other names
Family Dental Center at Salisbury
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA L PORTER (CREDENTIALING MANAGER)
(660) 890-8156
Entity
Organization
Contact information
Practice address
307 S BROADWAY, SALISBURY, MO 65281-1037
(660) 388-6950
(660) 388-6935
Mailing address
1001 W WORLEY ST, COLUMBIA, MO 65203-2037
(573) 886-6741
(573) 607-2885
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245479526
—
MO
Enumeration date
02/11/2009
Last updated
07/04/2023
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