Big Springs Medical Association
Organization Active NPI Federally Qualified Health Center (FQHC) · Pilot Knob, MO
NPI 1154862449 · NPPES record last updated Aug 26, 2026
Key facts
- NPI
- 1154862449
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- BIG SPRINGS MEDICAL ASSOCIATION
- Practice address
- 315 W Mulberry Ste B
Pilot Knob, MO 63663-7883 - Phone
- (573) 546-1001
- Fax
- (573) 546-1002
- NPI assigned
- Mar 20, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- BIG SPRINGS MEDICAL ASSOCIATION
Authorized official
- Name
- Karen R White
- Title
- Ceo
- Phone
- (573) 663-2313
Other NPIs on the same Medicare enrollment 35
Corporate family (same tax ID) 33
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
Federally qualified health center certification: CCN 261145
- Legal name
- BIG SPRINGS MEDICAL ASSOCIATION
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Sep 20, 2017
- Last certification
- Sep 20, 2017
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Feb 6, 1975 in MO
- Enrollment address
- 315 W Mulberry
Ste B
Pilot Knob, MO 63663-7883
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Scott Oatman |
Corporate Director |
Jun 1, 2017 | |
| Curt Majors |
Corporate Director |
Feb 20, 2018 | |
| Michael Morton |
Corporate Director |
Jun 1, 2017 | |
| Steve Lynxwiler |
Corporate Director | Sep 17, 2019 | |
| Julie O'Neal |
Corporate Director |
Jan 10, 2017 | |
| John Mark Brewer |
Corporate Director |
Jun 1, 2017 | |
| Lance Mayfield |
Corporate Director |
Jun 1, 2017 | |
| Katherine Michelle Walker |
Corporate Director | Nov 20, 2018 | |
| Linda Lunsford |
Corporate Director |
Jun 1, 2017 | |
| Karen R White |
Corporate Officer |
Jan 1, 2009 | |
| W-2 Managing Employee |
Jan 1, 2009 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040416000695 | MO | Part B Supplier - Clinic/Group Practice | 6709871007 |
Receives reassigned benefits from 106 practitioners 37 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Pilot Knob, MO; Poplar Bluff, MO; Neelyville, MO; Van Buren, MO; Viburnum, MO; Doniphan, MO; Annapolis, MO; Ellington, MO… |
| O20170921001313 | MO | Part a Provider - Federally Qualified Health Center (FQHC) | 6709871007 | Practice locations: Pilot Knob, MO |
National Provider Directory
- Tax ID family
- Big Springs Medical Association
- Part of
- Big Springs Medical Association
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
315 W Mulberry Ste B
Pilot Knob, MO 63663-7883
Mailing address
110 S 2ND St
Ellington, MO 63638-9400
Phone (573) 663-2313
Other names
- Missouri Highlands Health Care
- Iron County Dental Clinic
Other providers in Pilot Knob, MO
- Arcadia Valley Ambulance Service, Inc.
- Rosalie Grimes Benz
- Big Springs Medical Association
- Jill Bleything
- Boonyasai & Boonyasai, M.D.P. C.
- Boonfu Boonyasai
- Vatana C. Boonyasai
All providers in Pilot Knob, MO · Federally Qualified Health Center (FQHC) in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.