NPIMap

Organization Active NPI

Big Springs Medical Association

Doing business as Missouri Highlands Health Care

  • Federally Qualified Health Center (FQHC)
  • Viburnum, MO
National Provider Identifier
1477657609
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
18 Viburnum Center Rd
Viburnum, MO 65566-7802
Phone
(573) 244-5406
Fax
(573) 244-5590
NPI assigned
Sep 8, 2006
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

18 Viburnum Center Rd
Viburnum, MO 65566-7802

Mailing address

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

Other names 2

  • Missouri Highlands Health Care Doing business as
  • Viburnum Medical 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…
O20051116000515 MO Part A Provider - Federally Qualified Health Center (FQHC) 6709871007 1 other NPI on this enrollment
Practice locations: Viburnum, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477657609. Details of each certification follow.

Federally qualified health center certification: CCN 261899

Legal name
BIG SPRINGS MEDICAL ASSOCIATION
Doing business as
MISSOURI HIGHLANDS HEALTH CARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 6, 2006
Last certification
Jan 6, 2006
Ownership / control type
Non-profit – other
Organization structure
CorporationNon-profit
Incorporated
Feb 6, 1975 in MO
Enrollment address
18 Viburnum Center Rd
Viburnum, MO 65566-7802

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
26D2181630Viburnum Medical Clinic#18 Viburnum Center Road, Viburnum, MO 65566Certificate of waiverApr 7, 2028

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

225 Physicians Park
Ste 200
Poplar Bluff, MO 63901
Phone (573) 727-9995

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 Director Jun 1, 2017
Deborah S Sandarciero Individual Corporate Director Jun 1, 2017
Joetta M Martin Individual Corporate DirectorBoard Member Jan 1, 2009
Michael Morton Individual Corporate DirectorBoard Member Dec 17, 2013
John Mark Brewer Individual Corporate Director Jun 1, 2017
Lance Mayfield Individual Corporate DirectorBoard Member Oct 1, 2014
Linda Lunsford Individual Corporate DirectorBoard Member Aug 20, 2013
Karen R White Individual Corporate OfficerCeo/Cfo Jan 1, 2009
W-2 Managing EmployeeCeo/Cfo Jan 1, 2009

Practitioners & affiliated clinicians

Practitioners 3

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": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1477657609",
    "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": "18 VIBURNUM CENTER RD",
            "city": "VIBURNUM",
            "state": "MO",
            "postal_code": "655667802",
            "telephone_number": "573-244-5406",
            "fax_number": "573-244-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SPRINGS MEDICAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIG SPRINGS MEDICAL ASSOCIATION",
        "enumeration_date": "2006-09-08",
        "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": "Viburnum Medical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Viburnum, MO

Sources for this page

Verify at the official NPI Registry.