| Big Springs Medical Association | |
|
315 W Mulberry St Pilot Knob MO 63663-0327 | |
| (573) 546-0602 | |
| (573) 546-0624 |
| Full Name | Big Springs Medical Association |
|---|---|
| Speciality | Clinic/Center |
| Location | 315 W Mulberry St, Pilot Knob, 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 St Ellington MO 63638-9400 Ph: (573) 663-2313 | Big Springs Medical Association 315 W Mulberry St Pilot Knob MO 63663-0327 Ph: (573) 546-0602 |
| NPI Number | 1306037411 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 02/20/2017 |
| Medicare PECOS PAC ID | 6709871007 |
|---|---|
| Medicare Enrollment ID | O20071003000775 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306037411 | NPI | - | NPPES |
| 507592103 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Iron County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 N Highway 21, Pilot Knob, MO 63663 Phone: 573-546-8051 | |
Boonyasai & Boonyasai, M.d.p. C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 St . Marys Street, Lower Level, Pilot Knob, MO 63663 Phone: 573-546-3929 Fax: 573-546-3962 | |
Big Springs Medical Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 W. Mulberry, Pilot Knob, MO 63663 Phone: 573-546-1001 Fax: 573-546-1002 | |
Madison Medical Center Stockhoff Memorial Nursing Home Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 St. Mary, Pilot Knob, MO 63663 Phone: 573-546-7000 Fax: 573-546-6420 |