BIG SPRINGS MEDICAL ASSOCIATION NPI 1407478399

NPI Information

NPI: 1407478399
Provider Name: BIG SPRINGS MEDICAL ASSOCIATION

Doing Business As: MISSOURI HIGHLANDS HEALTH CARE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2879 JAMES BLVD
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 609-8800
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BIG SPRINGS MEDICAL ASSOCIATION is a federally qualified health center (fqhc) clinic center in Poplar Bluff, MO. BIG SPRINGS MEDICAL ASSOCIATION NPI is 1407478399. The provider is registered as an organization entity type.
The provider Is Doing Business As Missouri Highlands Health Care.

The provider's business location address is:

2879 JAMES BLVD
POPLAR BLUFF, MO
ZIP 63901-395
Phone: (573) 609-8800

The provider's authorized official is Karen R White .
The authorized official title is Ceo and has the following contact phone number (573) 663-2313.

The CLIA number assigned to this NPI record is 26D2188875 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/13/2020 and was last updated on 6/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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