| Great Mines Health Center | |
|
1 Black Knight Dr Rm 1 Farmington MO 63640-2930 | |
| (573) 438-9355 | |
| Not Available |
| Full Name | Great Mines Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1 Black Knight Dr Rm 1, Farmington, Missouri |
| Authorized Official Name and Position | Michael Johnson (MANAGER) |
| Authorized Official Contact | 6182779533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Mines Health Center 1 Southtowne Dr Potosi MO 63664-5729 Ph: (573) 438-9355 | Great Mines Health Center 1 Black Knight Dr Rm 1 Farmington MO 63640-2930 Ph: (573) 438-9355 |
| NPI Number | 1679159941 |
|---|---|
| Provider Enumeration Date | 03/18/2021 |
| Last Update Date | 05/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679159941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Great Mines Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Forster St Rm E2a, Farmington, MO 63640 Phone: 573-438-9355 | |
Great Mines Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 608 Pine St Ofc 2, Farmington, MO 63640 Phone: 573-438-9355 | |
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