| Big Springs Medical Association | |
|
135 Main Street Greenville MO 63944 | |
| (573) 224-3660 | |
| (573) 224-3770 |
| Full Name | Big Springs Medical Association |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 135 Main Street, Greenville, Missouri |
| Authorized Official Name and Position | Sherilyn Clark (CEO) |
| Authorized Official Contact | 5736632313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Springs Medical Association Po Box 157 Ellington MO 63638-0157 Ph: (573) 663-2313 | Big Springs Medical Association 135 Main Street Greenville MO 63944 Ph: (573) 224-3660 |
| NPI Number | 1801021142 |
|---|---|
| Provider Enumeration Date | 05/15/2009 |
| Last Update Date | 07/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801021142 | NPI | - | NPPES |
| 000010497 | Other | MO | STATE MEDICARE |
| 1801021142 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Missouri) | Primary |