Organization
COMPASS HEALTH, INC.
Active
Other names
Pathways Community Behavioral Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA PORTER (CREDENTIALING/CONTRACTING MANAGER)
(660) 890-8186
Entity
Organization
Contact information
Practice address
851E 5TH STREET,SUITE 132, WASHINGTON, MO 63090-3128
(636) 239-8397
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 890-8186
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504605320
—
MO
Enumeration date
09/12/2007
Last updated
03/17/2015
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