Organization
BIG SPRINGS MEDICAL ASSOCIATION
Active
Parent organization
BIG SPRINGS MEDICAL ASSOCIATION
Other names
MISSOURI HIGHLANDS CLINICAL LAB
Organization subpart
Yes
Provider details
NPI number
Legal business name
BIG SPRINGS MEDICAL ASSOCIATION
Authorized official
KAREN R WHITE (CEO)
(573) 663-2313
Entity
Organization
Contact information
Practice address
2879 JAMES BLVD, POPLAR BLUFF, MO 63901-3395
(573) 663-2550
(573) 663-7821
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)
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
11/12/2024
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