Great Mines Health Center | |
10047 Diamond Rd Rm 809 Cadet MO 63630-9581 | |
(573) 438-4982 | |
(573) 438-1212 |
Full Name | Great Mines Health Center |
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Speciality | Clinic/Center |
Location | 10047 Diamond Rd Rm 809, Cadet, Missouri |
Authorized Official Name and Position | Gregory A Roeback (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5734389355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Great Mines Health Center Po Box 761 Potosi MO 63664-0761 Ph: (573) 435-9355 | Great Mines Health Center 10047 Diamond Rd Rm 809 Cadet MO 63630-9581 Ph: (573) 438-4982 |
NPI Number | 1548750847 |
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Provider Enumeration Date | 05/14/2018 |
Last Update Date | 05/14/2018 |
Medicare PECOS PAC ID | 3072598143 |
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Medicare Enrollment ID | O20181030000399 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548750847 | NPI | - | NPPES |
H80CS06670-13-02 | Other | HRSA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | H80CS06670-13-02 (* (Not Available)) | Primary |
Silvertip Medical Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10430 Tindall Rd, Cadet, MO 63630 Phone: 573-438-7778 | |
Rural Parish Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10120 Crest Road, Cadet, MO 63630 Phone: 888-870-9610 Fax: 573-438-3685 | |
Great Mines Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10047 Diamond Rd Rm 2, Cadet, MO 63630 Phone: 573-438-9355 | |
Heartland Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10048 Settle Mill Rd, Cadet, MO 63630 Phone: 573-438-9264 Fax: 573-438-5195 |