| Great Mines Health Center | |
|
625 Chariton Ave Rm 103 Park Hills MO 63601-9356 | |
| (573) 438-9355 | |
| (573) 438-7892 |
| Full Name | Great Mines Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 625 Chariton Ave Rm 103, Park Hills, 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 |
|---|---|
| Great Mines Health Center Po Box 761 Potosi MO 63664-0761 Ph: (573) 438-9355 | Great Mines Health Center 625 Chariton Ave Rm 103 Park Hills MO 63601-9356 Ph: (573) 438-9355 |
| NPI Number | 1790332757 |
|---|---|
| Provider Enumeration Date | 08/23/2019 |
| Last Update Date | 09/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790332757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Great Mines Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Rebel Dr Rm 201, Park Hills, MO 63601 Phone: 573-431-2616 | |
West County High School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 768 Highway M Rm 200, Park Hills, MO 63601 Phone: 573-438-9355 | |
Great Mines Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 W Fite St Rm 201, Park Hills, MO 63601 Phone: 573-431-2616 | |
Great Mines Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Columbia St Rm 216, Park Hills, MO 63601 Phone: 573-431-2616 | |
Great Mines Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 W Fite St Rm 5, Park Hills, MO 63601 Phone: 573-438-9355 | |
West County Middle School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 728 Highway M Rm 113, Park Hills, MO 63601 Phone: 573-438-9355 |