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CH07043T Big Springs Medical Association, Inc (Active)
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Main Details
Name
Big Springs Medical Association, Inc
Subdivision Name
Missouri Highlands Health Care - Doniphan North
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024776
340B ID
CH07043T
Grant Number
H80CS00703
Additional Details
Current Program Status
Active
Registration Date
1/4/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/7/2019
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
109 Leroux St
Doniphan, MO 63935-1038
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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