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Organization

BIG SPRINGS MEDICAL ASSOCIATION

Active
Parent organization
BIG SPRINGS MEDICAL ASSOCIATION
Other names
Wayne County Medical Clinic, Missouri Highlands Health Care
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
135 MAIN STREET, GREENVILLE, MO 63944
(573) 224-3660
(573) 224-3770
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
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010497
STATE MEDICARE
MO
05
1801021142
MO
Enumeration date
05/15/2009
Last updated
08/05/2026
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