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CH070430 Big Springs Medical Association, Inc (Active)
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Main Details
Name
Big Springs Medical Association, Inc
Subdivision Name
MISSOURI HIGHLANDS HEALTH CARE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000542
340B ID
CH070430
Grant Number
H80CS00703
Additional Details
Current Program Status
Active
Registration Date
1/1/2004
Participating Start Date
1/1/2004
Participating Approval Date
12/22/2003
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Big Springs Medical Association Inc. dba MO Highlands Health Care
Karen R White, CEO
(573) 663-2313 Ext: 3965
Primary Contact
Big Springs Medical Association Inc.
Julie O'Neal, CFO
(573) 663-3957
Addresses
Street Address
110 SOUTH SECOND STREET
ELLINGTON, MO 63638-0157
Billing Address
Big Springs Medical Association
PO Box 157
Ellington, MO 63638-0157
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/14/12 mistakenly deleted on 11/13/12 with an effective termination of 1/1/13, termination reason and date removed on 11/14/12; 11/13/12 - Site is closed, please terminate. 5/11/12 - Changed main address from 110 SECOND STREET.
11/14/2012
11/13/12 - Site is closed, please terminate. 5/11/12 - Changed main address from 110 SECOND STREET.
11/13/2012
5/11/12 - Changed main address from 110 SECOND STREET.
05/11/2012
April 2025
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