BIG SPRINGS MEDICAL ASSOCIATION (NPI# 1154862449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154862449 |
Entity Type | Organization |
Organization Name | BIG SPRINGS MEDICAL ASSOCIATION |
Other Organization Name | IRON COUNTY DENTAL CLINIC |
Practice Address |
315 W. Mulberry Pilot Knob MO 63663 |
Practice Telephone | 5735461001 |
Practice Fax Number | 5735461002 |
Mailing Telephone | 5735461001 |
Mailing Fax Number | 5735461002 |
Enumeration Date | 2017-03-20 |
Last Update Date | 2017-09-20 |
Authorized Official Name | KAREN R WHITE (CEO) |
Authorized Official Telephone | 5736632313 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
IRON COUNTY DENTAL 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 |
315 W. MULBERRY |
City | PILOT KNOB |
State | MO |
Zip Code | 63663 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508194994 | Robert Wayne Lefebvre | Social Worker | 315 W. Mulberry, Pilot Knob, MO 63663-0327 | 2009-11-24 |
1760958292 | Kylie Renee Strange | Nurse Practitioner | 315 W. Mulberry, Suite A, Pilot Knob, MO 63663 | 2018-10-23 |
1437640240 | Amy Phillips | Dental Hygienist | 315 W. Mulberry, Suite B, Pilot Knob, MO 63663 | 2018-05-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891266573 | Inspire Home Health LLC | Home Health | 305 West Maple, Pilot Knob, MO 63663 | 2018-12-06 |
1013321371 | Michelle Whited | Registered Nurse | 200 Saint Mary St., Pilot Knob, MO 63663 | 2014-06-16 |
1497932107 | Iron County Ambulance District | Ambulance | 115 South Mccune Street, Pilot Knob, MO 63663 | 2008-01-24 |
1467639278 | Michelle E Allen | Nurse Practitioner | 301 North Main, Pilot Knob, MO 63663 | 2008-01-23 |
1073799367 | Iron County Hospital District | Clinic/Center | 600 North Main, Pilot Knob, MO 63663 | 2008-01-16 |
1144406455 | Boonyasai & Boonyasai, M.d.p. C. | General Practice | 200 St . Marys Street, Lower Level, Pilot Knob, MO 63663 | 2008-01-16 |
1962685438 | Jennifer J Savage | Nurse Practitioner | 600 N Main Street, Pilot Knob, MO 63663 | 2007-12-07 |
1255485678 | Karen Lin Duberstein | Family Medicine | 301 North Highway 21, Pilot Knob, MO 63663 | 2007-01-23 |
1174684203 | True Care Home Health Equipment Sales and Service LLC | Durable Medical Equipment & Medical Supplies | 303 W. Maple, Pilot Knob, MO 63663 | 2006-12-13 |
1992819627 | Harry Taylor Harness | Family Medicine | 315 West Mulberry Street, Pilot Knob, MO 63663 | 2006-08-19 |
Find all providers in zip 63663 |
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 |
---|---|---|---|---|
1306037411 | Big Springs Medical Association | Clinic/Center | 315 W Mulberry St, Pilot Knob, MO 63663-0327 | 2007-08-05 |
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 |
City | PILOT KNOB |
Zip Code | 63663 |
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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.