BIG SPRINGS MEDICAL ASSOCIATION NPI 1801021142

NPI Information

NPI: 1801021142
Provider Name: BIG SPRINGS MEDICAL ASSOCIATION

Other Name: WAYNE COUNTY MEDICAL CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
135 MAIN STREET
GREENVILLE, MO
ZIP 63944
Phone: (573) 224-3660
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BIG SPRINGS MEDICAL ASSOCIATION is a federally qualified health center (fqhc) clinic center in Greenville, MO. BIG SPRINGS MEDICAL ASSOCIATION NPI is 1801021142. The provider is registered as an organization entity type.
The provider Other Name Is Wayne County Medical Clinic.

The provider's business location address is:

135 MAIN STREET
GREENVILLE, MO
ZIP 63944
Phone: (573) 224-3660
Fax: (573) 224-3770

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

The enumeration date for this NPI number is 5/15/2009 and was last updated on 7/18/2013.

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)		MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000010497	OTHER	MISSOURI	STATE MEDICARE
2	1801021142	MEDICAID	MISSOURI
3	261036	MEDICARE OSCAR/CERTIFICATION

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: 5/5/2024

NPI Synchronization or Removal

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