Provider Demographics
NPI:1710399159
Name:COMPASS HEALTH
Entity Type:Organization
Organization Name:COMPASS HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:AUGUSTYNIAK
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:314-452-8294
Mailing Address - Street 1:6953 LINDENWOOD PL
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63109-1179
Mailing Address - Country:US
Mailing Address - Phone:314-452-8294
Mailing Address - Fax:
Practice Address - Street 1:530 ARDUSER DR
Practice Address - Street 2:
Practice Address - City:OSCEOLA
Practice Address - State:MO
Practice Address - Zip Code:64776-6284
Practice Address - Country:US
Practice Address - Phone:417-646-8157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-20
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care