Organization
BIG SPRINGS MEDICAL ASSOCIATION
Active
Parent organization
BIG SPRINGS MEDIAL ASSOCIATION
Other names
Missouri Highlands Health Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
BIG SPRINGS MEDIAL ASSOCIATION
Authorized official
SHERILYN CLARK (CEO)
(573) 663-2313
Entity
Organization
Contact information
Practice address
110 S 2ND ST, ELLINGTON, MO 63638-9400
(573) 663-2313
(573) 663-2441
Mailing address
PO BOX 157, ELLINGTON, MO 63638-0157
(573) 663-2313
(573) 663-2441
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MO
Other
Enumeration date
05/09/2008
Last updated
07/17/2013
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