NPIMap

Organization Active NPI

Big Springs Medical Association

Doing business as Missouri Highlands Health Care

  • Federally Qualified Health Center (FQHC)
  • Doniphan, MO
National Provider Identifier
1467021014
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
109 Plum St Ste B
Doniphan, MO 63935-1225
Phone
(573) 351-0220
Fax
(573) 996-2246
NPI assigned
Jun 18, 2021
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 Primary

Addresses

Primary practice location

109 Plum St Ste B
Doniphan, MO 63935-1225

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 Integrated Care 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…
O20210726000560 MO Part A Provider - Federally Qualified Health Center (FQHC) 6709871007 Practice locations: Doniphan, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467021014. Details of each certification follow.

Federally qualified health center certification: CCN 791041

Legal name
BIG SPRINGS MEDICAL ASSOCIATION
Doing business as
MISSOURI HIGHLANDS INTEGRATED CARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 23, 2021
Last certification
Jul 23, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 6, 1975 in MO
Enrollment address
109 Plum St
Ste B
Doniphan, MO 63935-1277

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
26D2238078Missouri Highlands Integrated Care Clinic109 Plum Street, Suite B, Doniphan, MO 63935Certificate of waiverSep 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Big Springs Med Association32 organizations share this tax ID, including this one
Part of
Big Springs Med Association

Other organizations with this tax ID 31

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

View all 31

Locations

1407 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 778-3042

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 May 4, 2021
Deborah S Sandarciero Individual Corporate DirectorBoard Member May 4, 2021
Joetta M Martin Individual Corporate DirectorVice President May 4, 2021
Michael Morton Individual Corporate DirectorPresident May 4, 2021
John Mark Brewer Individual Corporate DirectorBoard Member May 4, 2021
Lance Mayfield Individual Corporate DirectorSecratery May 4, 2021
Linda Lunsford Individual Corporate DirectorBoard Member May 4, 2021
Karen R White Individual Corporate OfficerCeo May 4, 2021
W-2 Managing EmployeeCeo May 4, 2021

Practitioners & affiliated clinicians

Practitioners 4

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": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1467021014",
    "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 B",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639351225",
            "telephone_number": "573-351-0220",
            "fax_number": "573-996-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SPRINGS MEDICAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIG SPRINGS MEDICAL ASSOCIATION",
        "enumeration_date": "2021-06-18",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Missouri Highlands Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Missouri Highlands Integrated Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Missouri Highlands Integrated Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Doniphan, MO

Sources for this page

Verify at the official NPI Registry.