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Big Springs Medical Association

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

NPI 1790336170 · NPPES record last updated Aug 26, 2026

Key facts

NPI
1790336170
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
BIG SPRINGS MEDICAL ASSOCIATION
Practice address
1 Hals PLZ Ste a
Piedmont, MO 63957-1631
Phone
(573) 223-4800
Fax
(573) 223-7161
NPI assigned
Sep 26, 2019
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 10

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MO

Federally qualified health center certification: CCN 261184

Legal name
BIG SPRINGS MEDICAL ASSOCIATION
Doing business as
MISSOURI HIGHLANDS HEALTH CARE OF WAYNE COUNTY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 4, 2019
Last certification
Dec 4, 2019
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Enrollment address
1 Hals PLZ
Piedmont, MO 63957-1631

All disclosed owners & managing parties 6

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
Board Member		 Jan 1, 2020
Michael Morton
Individual 		Corporate Director
President		 Jan 1, 2020
John Mark Brewer
Individual 		Corporate Director
Board Member		 Jan 1, 2020
Lance Mayfield
Individual 		Corporate Director
Secretary		 Jan 1, 2020
Linda Lunsford
Individual 		Corporate Director
Board Member		 Jan 1, 2020
Karen R White
Individual 		Corporate Officer
Ceo		 Jan 1, 2020
W-2 Managing Employee
Ceo		 Jan 1, 2020

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…
O20191205001883 MO Part a Provider - Federally Qualified Health Center (FQHC) 6709871007 Practice locations: Piedmont, MO

National Provider Directory

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

Locations

1 Hals Plz
Ste A
Piedmont, MO 63957
Phone (573) 223-4800

Specialties & licenses

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

Addresses

Primary practice location

1 Hals PLZ Ste a
Piedmont, MO 63957-1631

Mailing address

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

Other names

  • Missouri Highlands Health Care Doing business as
  • Missouri Highlands Health Care of Wayne County Other name

Other providers in Piedmont, MO

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

Sources for this page

Verify at the official NPI Registry.