| Big Springs Dental Clinic | |
|
115 Walnut St Ellington MO 63638 | |
| (573) 663-3177 | |
| (573) 663-3188 |
| Full Name | Big Springs Dental Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 115 Walnut St, Ellington, Missouri |
| Authorized Official Name and Position | Karen White (CEO) |
| Authorized Official Contact | 5736632313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Springs Dental Clinic 110 S 2nd St Ellington MO 63638-9400 Ph: (573) 663-2313 | Big Springs Dental Clinic 115 Walnut St Ellington MO 63638 Ph: (573) 663-3177 |
| NPI Number | 1770678211 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 09/30/2017 |
| Medicare PECOS PAC ID | 6709871007 |
|---|---|
| Medicare Enrollment ID | O20171017001601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770678211 | NPI | - | NPPES |
| 500217450 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Missouri Highlands Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S 2nd St, Ellington, MO 63638 Phone: 573-663-2313 Fax: 573-663-2441 | |
Southeasthealth Ellington Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Highway 21 N, Ellington, MO 63638 Phone: 573-663-2511 Fax: 573-663-2815 | |
Missouri Highlands Clinical Lab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 61 Highway Y, Ellington, MO 63638 Phone: 573-663-2525 Fax: 573-663-7821 | |
Southeasthealth Family Medicine Of Ellington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 E Walnut St, Ellington, MO 63638 Phone: 573-663-2571 Fax: 573-663-2779 | |
Missouri Highlands Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 61 Highway Y, Ellington, MO 63638 Phone: 573-663-2525 Fax: 573-663-7821 |