BIG SPRINGS MEDICAL ASSOCIATION (NPI# 1104920420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104920420 |
| Entity Type | Organization |
| Organization Name | BIG SPRINGS MEDICAL ASSOCIATION |
| Other Organization Name | MISSOURI HIGHLANDS HEALTH CARE |
| Practice Address |
220 E Broad St. Naylor MO 63953-0038 |
| Mailing Address |
110 S 2nd Street Ellington MO 63638-0157 |
| Practice Telephone | 5733992311 |
| Practice Fax Number | 5733992646 |
| Mailing Telephone | 5736632313 |
| Mailing Fax Number | 5736632441 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2017-03-20 |
| Authorized Official Name | KAREN WHITE (CEO) |
| Authorized Official Telephone | 5736632313 |
| Is Organization Subpart | Y |
| Parent Organization Name | BIG SPRINGS MEDICAL ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 502652019 | 05 |
| Other Name | Type Code |
|---|---|
| Missouri Highlands Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407478399 | Big Springs Medical Association | Clinic/Center | 2879 James Blvd, Poplar Bluff, MO 63901-3395 | 2020-05-13 |
| 1306037411 | Big Springs Medical Association | Clinic/Center | 315 W Mulberry St, Pilot Knob, MO 63663-0327 | 2007-08-05 |
| 1184719064 | Big Springs Medical Association | Clinic/Center | 221 Co Rd 816, Black, MO 63625 | 2006-10-04 |
| 1770678211 | Big Springs Medical Association | Clinic/Center | 115 Walnut St, Ellington, MO 63638 | 2006-10-03 |
| 1477657609 | Big Springs Medical Association | Clinic/Center | 18 Viburnum Center Rd, Viburnum, MO 65566 | 2006-09-08 |
| 1225131501 | Big Springs Medical Association | Clinic/Center | 202 Allen St., Annapolis, MO 63620 | 2006-09-05 |
| 1366074692 | Big Springs Medical Association | Clinical Medical Laboratory | 109 Plum St, Doniphan, MO 63935-1277 | 2020-02-05 |
| 1275165508 | Big Springs Medical Association | Clinic/Center | 109 Plum St, Doniphan, MO 63935-1277 | 2020-02-05 |
| 1790336170 | Big Springs Medical Association | Clinic/Center | 1 Hals Plaza, Piedmont, MO 63957 | 2019-09-26 |
| 1184195281 | Big Springs Medical Association | Clinic/Center | 109 Leroux St, Doniphan, MO 63935-1038 | 2018-12-16 |
| Street Address |
220 E BROAD ST. |
| City | NAYLOR |
| State | MO |
| Zip Code | 63953-0038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336342815 | Naylor-neelyville Ambulance District | Ambulance | 101 North Front Street, Naylor, MO 63953 | 2007-06-11 |
| 1114021417 | Rebecca Ann Kelley | Registered Nurse | 220 E Broad St, Naylor, MO 63953 | 2006-09-08 |
| 1669858429 | Ashley M Oldham | Nurse Practitioner | 220 East Broad Street, Naylor, MO 63953-0038 | 2015-08-04 |
| 1164693495 | Naylor Ambulance Association | Ambulance | 101 N Front Street, Naylor, MO 63953-0056 | 2008-03-14 |
| 1639655442 | Dynamic Behavioral Services, LLC | Community/Behavioral Health | Rr 61 Box 3030, Naylor, MO 63953-9414 | 2018-07-15 |
| 1215414594 | Sharon Wagner | Behavioral Analyst | Rr 61 Box 3030, Naylor, MO 63953-9414 | 2018-07-19 |
| 1548747827 | Seth Wagner | Behavior Technician | Rr 61 Box 3030, Naylor, MO 63953-9414 | 2018-07-19 |
| 1588012108 | Lisa Joplin | Counselor | Rr 61 Box 1270, Naylor, MO 63953-9709 | 2016-05-25 |
| 1699134627 | Stacey Roach | Speech-Language Pathologist | Rr 62 Box 512, Naylor, MO 63953-9792 | 2016-02-18 |
| 1417232489 | Naylor R-ii School District | Local Education Agency (LEA) | Rte 2 Box 512, Naylor, MO 63953-9792 | 2011-10-20 |
| Find all providers in zip 63953 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909079 | Northwest Health Services Inc | Clinic/Center | 202 S East St, Albany, MO 64402-1836 | 2020-10-12 |
| 1912505041 | Northwest Health Services Inc | Clinic/Center | 10500 State Route T, Savannah, MO 64485-2456 | 2020-10-12 |
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1407478399 | Big Springs Medical Association | Clinic/Center | 2879 James Blvd, Poplar Bluff, MO 63901-3395 | 2020-05-13 |
| 1295356731 | Health Care Coalition of Lafayette County | Clinic/Center | 811 S Business Highway 13, Lexington, MO 64067-1515 | 2020-05-06 |
| 1376164699 | East Central Missouri Behavioral Health Services, Inc | Clinic/Center | 896 S Sturgeon St, Montgomery City, MO 63361-2716 | 2020-04-27 |
| 1750912044 | Northwest Health Services, Inc. | Clinic/Center | 418 E 2nd St, Maryville, MO 64468-1703 | 2020-01-27 |
| 1669003950 | Northwest Health Services, Inc. | Clinic/Center | 525 W South Hills Dr, Maryville, MO 64468-3653 | 2020-01-27 |
| 1063052553 | Compass Health, Inc. | Clinic/Center | 1319 E Highway 24 Ste B, Moberly, MO 65270-3682 | 2020-01-13 |
| 1407490741 | Advocates for A Healthy Community Inc | Clinic/Center | 2238 W Kingsley St, Springfield, MO 65807-5456 | 2019-10-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.