NPIMap

Great Mines Health Center

A Medicare group practice based in Farmington, MO: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 3072598143), with 34 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3072598143The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
MO
Enrollments
6
Group size
19 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
10In 6 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20041004000035 MO Part B Supplier - Clinic/Group Practice 1376536953
O20061017000618 MO Part A Provider - Federally Qualified Health Center (FQHC) 1376536953
O20080130000157 MO Part A Provider - Federally Qualified Health Center (FQHC) 1922446384
O20220705000104 MO Part A Provider - Federally Qualified Health Center (FQHC) 1124693510
O20220808001840 MO Part A Provider - Federally Qualified Health Center (FQHC) 1073188462
O20181030000399 MO Part A Provider - Federally Qualified Health Center (FQHC) 1548750847

NPIs in this group 8

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 34

Clinicians who reassign their Medicare benefits to this group (34) or whom Care Compare lists as members (19).

Sources for this page