Organization
BIG SPRINGS MEDICAL ASSOCIATION
Active
Organization
BIG SPRINGS MEDICAL ASSOCIATION
Active
Parent organization
BIG SPRINGS MEDICAL ASSOCIATION
Other names
Missouri Highlands Mobile Dental 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
1407 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3315
(573) 663-2313
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
03/24/2017
Last updated
06/20/2022
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