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The Supervisory Medical Support Assistant (SMSA) serves as the first-line administrative supervisor for Medical Support Assistants (MSAs), Advanced MSAs (AMSAs), and Lead MSAs within the Health Administration Service (HAS). The SMSA directs daily operations across John J. Pershing VAMC, the Cape Girardeau Health Care Center, the Community-Based Outpatient Clinics (CBOCs) in Farmington, West Plains, Paragould, and Pocahontas, and the Care in the Community program.