Organization
BIG SPRINGS MEDICAL ASSOCIATION
Active
Parent organization
BIG SPRINGS MEDICAL ASSOCIATION
Other names
BIG SPRINGS MEDICAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BIG SPRINGS MEDICAL ASSOCIATION
Authorized official
KAREN WHITE (CEO)
(573) 663-2313
Entity
Organization
Contact information
Practice address
405 MAIN STREET, VAN BUREN, MO 63965-0486
(573) 323-4253
(573) 323-4465
Mailing address
110 S 2ND ST, ELLINGTON, MO 63638-9400
(573) 663-2313
(573) 663-2441
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500217427
—
MO
Enumeration date
08/02/2006
Last updated
11/30/2017
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