| Big Springs Medical Association | |
|
220 E Broad St. Naylor MO 63953-0038 | |
| (573) 399-2311 | |
| (573) 399-2646 |
| Full Name | Big Springs Medical Association |
|---|---|
| Speciality | Clinic/Center |
| Location | 220 E Broad St., Naylor, Missouri |
| Authorized Official Name and Position | Karen White (CEO) |
| Authorized Official Contact | 5736632313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Springs Medical Association 110 S 2nd Street Ellington MO 63638-0157 Ph: (573) 663-2313 | Big Springs Medical Association 220 E Broad St. Naylor MO 63953-0038 Ph: (573) 399-2311 |
| NPI Number | 1104920420 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 03/20/2017 |
| Medicare PECOS PAC ID | 6709871007 |
|---|---|
| Medicare Enrollment ID | O20060330000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104920420 | NPI | - | NPPES |
| 502652019 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Big Springs Medical Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 E Batten St, Naylor, MO 63953 Phone: 573-663-2313 Fax: 573-663-2441 |