NPIMap

Organization Active NPI

Big Springs Medical Association

Doing business as Missouri Highlands Health Care

  • Federally Qualified Health Center (FQHC)
  • Poplar Bluff, MO
National Provider Identifier
1407478399
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BIG SPRINGS MEDICAL ASSOCIATION
Doing business as
Missouri Highlands Health Care
Practice address
2879 James Blvd
Poplar Bluff, MO 63901-3395
Phone
(573) 609-8800
Fax
(573) 776-6124
NPI assigned
May 13, 2020
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BIG SPRINGS MEDICAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen R White
Title
Ceo
Phone
(573) 663-2313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

2879 James Blvd
Poplar Bluff, MO 63901-3395

Mailing address

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

Other names 2

  • Missouri Highlands Health Care Doing business as
  • Missouri Highlands Women's Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

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…
O20200619000613 MO Part A Provider - Federally Qualified Health Center (FQHC) 6709871007 Practice locations: Poplar Bluff, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407478399. Details of each certification follow.

Federally qualified health center certification: CCN 791006

Legal name
BIG SPRINGS MEDICAL ASSOCIATION
Doing business as
MISSOURI HIGHLANDS WOMEN'S CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 17, 2020
Last certification
Jun 17, 2020
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
2879 James Blvd
Poplar Bluff, MO 63901-3395

Other NPIs on the same Medicare enrollment 33

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

View all 33

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2188875Missouri Highlands Women's Clinic2879 James River Blvd, Poplar Bluff, MO 63901Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Big Spring Med Assoc34 organizations share this tax ID, including this one
Part of
Big Spring Med Assoc

Other organizations with this tax ID 31

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

View all 31

Locations

2875 James Blvd
Poplar Bluff, MO 63901
Phone (573) 609-8800

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Scott Oatman Individual Corporate DirectorBoard Member Jul 1, 2020
Deborah S Sandarciero Individual Corporate DirectorBoard Member Jul 1, 2020
Joetta M Martin Individual Corporate DirectorVice President Jul 1, 2020
Michael Morton Individual Corporate DirectorPresident Jul 1, 2020
John Mark Brewer Individual Corporate DirectorBoard Member Jul 1, 2020
Lance Mayfield Individual Corporate DirectorSecretary Jul 1, 2020
Linda Lunsford Individual Corporate DirectorBoard Member Jul 1, 2020
Karen R White Individual Corporate OfficerCeo Jul 1, 2020
W-2 Managing EmployeeCeo Jul 1, 2020

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1407478399",
    "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": "2879 JAMES BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013395",
            "telephone_number": "573-609-8800",
            "fax_number": "573-776-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SPRINGS MEDICAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIG SPRINGS MEDICAL ASSOCIATION",
        "enumeration_date": "2020-05-13",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MISSOURI HIGHLANDS HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Missouri Highlands Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Missouri Highlands Women's Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Poplar Bluff, MO

Sources for this page

Verify at the official NPI Registry.