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Contact Information

BIG SPRINGS MEDICAL ASSOCIATION
221 CO RD 816
BLACK, MO63625
 Phone: 537-269-1035
 Fax: 573-269-1037
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for BIG SPRINGS MEDICAL ASSOCIATION

NPI Number 1184719064
LBN Legal business name BIG SPRINGS MEDICAL ASSOCIATION
Authorized official SHERILYN CLARK - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/04/2006
Last updated 07/22/2013 - About 13 years ago
Identifiers
MO Medicaid 509059002
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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