| Great Mines Health Center | |
|
10788 State Highway A Rm 128 Richwoods MO 63071-2548 | |
| (573) 438-9355 | |
| (573) 438-7892 |
| Full Name | Great Mines Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 10788 State Highway A Rm 128, Richwoods, Missouri |
| Authorized Official Name and Position | Gregory A Roeback (CHIEF EXECUTIVE OFFICER) |
| 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) 435-9355 | Great Mines Health Center 10788 State Highway A Rm 128 Richwoods MO 63071-2548 Ph: (573) 438-9355 |
| NPI Number | 1922562172 |
|---|---|
| Provider Enumeration Date | 01/22/2019 |
| Last Update Date | 01/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922562172 | NPI | - | NPPES |
| H80CS06670-13-02 | Other | HRSA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Byrnes Mill Medical Center-richwoods Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10649 State Highway A, Richwoods, MO 63071 Phone: 573-678-2444 Fax: 573-678-2445 |