BIG SPRINGS MEDICAL ASSOCIATION (NPI# 1801021142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801021142 |
| Entity Type | Organization |
| Organization Name | BIG SPRINGS MEDICAL ASSOCIATION |
| Other Organization Name | WAYNE COUNTY MEDICAL CLINIC |
| Practice Address |
135 Main Street Greenville MO 63944 |
| Mailing Address |
Po Box 157 Ellington MO 63638-0157 |
| Practice Telephone | 5732243660 |
| Practice Fax Number | 5732243770 |
| Mailing Telephone | 5736632313 |
| Mailing Fax Number | 5736632441 |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2013-07-18 |
| Authorized Official Name | SHERILYN CLARK (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) |
MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1801021142 | 05 | |
| MO | STATE MEDICARE | 000010497 | 01 |
| Other Name | Type Code |
|---|---|
| Wayne County Medical Clinic | Other Name - Individual/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 |
| 1104920420 | Big Springs Medical Association | Clinic/Center | 220 E Broad St., Naylor, MO 63953-0038 | 2006-09-08 |
| 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 |
| Street Address |
135 MAIN STREET |
| City | GREENVILLE |
| State | MO |
| Zip Code | 63944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299552 | Mary Atchison | Speech-Language Pathologist | 127 Walnut Street, Greenville, MO 63944 | 2020-09-09 |
| 1023527934 | Jennifer Anne Hovis | Nurse Practitioner | Hcr 2 5355, Greenville, MO 63944 | 2017-09-22 |
| 1063584506 | East Wayne County Ambulance District | Ambulance | 105 Sycamore St., Greenville, MO 63944 | 2006-11-13 |
| 1073509345 | N & R of Greenville, Inc. | Skilled Nursing Facility | Sycamore St, Greenville, MO 63944 | 2005-09-22 |
| 1801413786 | Kayla Leeallen Cookson | Behavior Technician | 102 Walnut Street, Greenville, MO 63944 | 2020-06-26 |
| 1225585714 | Greenville Health Care Center, L.L.C. | Skilled Nursing Facility | 117 Sycamore Street, Greenville, MO 63944 | 2016-09-01 |
| 1871628222 | Babita Patnaik | Occupational Therapist | 127 Walnut, Greenville R-ii, Greenville, MO 63944 | 2007-02-23 |
| 1639204092 | Mary Thea Voelker | Speech-Language Pathologist | 127 Walnut, Greenville R-ii, Greenville, MO 63944 | 2007-02-23 |
| 1427484195 | Greenville Nursing and Rehabilitation, LLC | Skilled Nursing Facility | 117 Sycamore Street, Greenville, MO 63944-0108 | 2013-09-25 |
| 1285879437 | Benchmark Healthcare of Greenville, LLC | Skilled Nursing Facility | 108 Sycamore St, Greenville, MO 63944-0108 | 2008-12-02 |
| Find all providers in zip 63944 | ||||
| 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 |
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| 1821475575 | Community Health Service Agency, Inc | Clinic/Center | 3005 Joe Ramsey Blvd E Ste A, Greenville, TX 75401-7776 | 2015-05-01 |
| 1124262431 | Greene County Health Care, Inc | Clinic/Center | 261 Belvoir Highway, Greenville, NC 27834-8193 | 2009-04-30 |
| 1508057076 | Delta Health Center, Inc. | Clinic/Center | 1414 Hospital St, Greenville, MS 38703-3217 | 2007-08-08 |
| 1942491428 | Women & Pediatric Clinic | Clinic/Center | 1217 E Railroad Ave, Greenville, MS 38703-3256 | 2007-08-08 |
| 1205949757 | New Horizon Family Health Services, Inc. | Clinic/Center | 130 Mallard St, Greenville, SC 29601-4046 | 2006-08-17 |
| 1306848650 | Community Health Centers of Western Kentucky, Inc. | Clinic/Center | 480 Hopkinsville St, Greenville, KY 42345-1124 | 2005-06-01 |
| 1376183855 | New Horizon Family Health Services, Inc. | Clinic/Center | 1133 Pendleton St, Greenville, SC 29601-2317 | 2020-01-13 |
| 1912543836 | New Horizon Family Health Services, Inc. | Clinic/Center | 130 Mallard St, Greenville, SC 29601-4046 | 2019-11-26 |
| 1013361583 | Family Health Services of Darke County, Inc. | Clinic/Center | 1101 Jackson St, Greenville, OH 45331-1183 | 2016-04-20 |
| 1306205810 | Family Health Services of Darke County, Inc. | Clinic/Center | 5735 Meeker Rd, Greenville, OH 45331-1180 | 2016-02-12 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 63944 |
Please comment or provide details below to improve the information on BIG SPRINGS MEDICAL ASSOCIATION.
| 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.