Great Mines Health Center | |
512 State St Rm 101 Mineral Point MO 63660-8208 | |
(573) 438-9355 | |
(573) 438-7892 |
Full Name | Great Mines Health Center |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 512 State St Rm 101, Mineral Point, Missouri |
Authorized Official Name and Position | Gregory Roeback (CEO) |
Authorized Official Contact | 5734389355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Great Mines Health Center Po Box 761 Potosi MO 63664-0761 Ph: (573) 438-9355 | Great Mines Health Center 512 State St Rm 101 Mineral Point MO 63660-8208 Ph: (573) 438-9355 |
NPI Number | 1891341665 |
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Provider Enumeration Date | 08/16/2019 |
Last Update Date | 08/16/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891341665 | NPI | - | NPPES |
H80CS06870-13-02 | Other | HRSA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |