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Big Springs Medical Association

Organization Active NPI Federally Qualified Health Center (FQHC) · Doniphan, MO

NPI 1366074692 · NPPES record last updated Aug 26, 2026

Key facts

NPI
1366074692
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
BIG SPRINGS MEDICAL ASSOCIATION
Practice address
109 Plum St Ste C
Doniphan, MO 63935-1225
Phone
(573) 351-0150
NPI assigned
Feb 5, 2020
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

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 35

Corporate family (same tax ID) 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Michael K. Gaddy, PA-C Medical Physician Assistant · Mountain View, MO · NPI 1871675702
    NPD

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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…

National Provider Directory

Tax ID family
Big Springs Medical Association (34 organizations share this tax ID)
Part of
Big Springs Medical Association

Locations

109 Plum St
Ste C
Doniphan, MO 63935

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

109 Plum St Ste C
Doniphan, MO 63935-1225

Mailing address

110 S 2ND St
Ellington, MO 63638-9400
Phone (573) 663-2313

Other names

  • Missouri Highlands Health Care Doing business as
  • Doniphan Lab Other name
  • Doniphan Urgent Care Lab Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 26, 2026.

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1366074692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S 2ND ST",
            "city": "ELLINGTON",
            "state": "MO",
            "postal_code": "636389400",
            "telephone_number": "573-663-2313",
            "fax_number": "573-663-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PLUM ST STE C",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639351225",
            "telephone_number": "573-351-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SPRINGS MEDICAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIG SPRINGS MEDICAL ASSOCIATION",
        "enumeration_date": "2020-02-05",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-663-2313"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Missouri Highlands Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Doniphan Lab",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Doniphan Urgent Care Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Doniphan, MO

All providers in Doniphan, MO · Federally Qualified Health Center (FQHC) in Missouri

Sources for this page

Verify at the official NPI Registry.