Great Mines Health Center
Organization Active NPI Federally Qualified Health Center (FQHC) · Park Hills, MO
NPI 1841935533 · NPPES record last updated Apr 28, 2022
Key facts
- NPI
- 1841935533
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- GREAT MINES HEALTH CENTER
- Practice address
- 900 Saint Francois Ave RM A9
Park Hills, MO 63601-1771 - Phone
- (573) 431-2616
- NPI assigned
- Apr 28, 2022
- Organization subpart
- No
Authorized official
- Name
- Gregory A Roeback
- Title
- Ceo
- Phone
- (573) 438-8380
Corporate family (same tax ID) 21
National Provider Directory
- Tax ID family
- Great Mines Health Center
Locations
900 Saint Francois Ave
Rm A9
Park Hills, MO 63601
Phone (573) 431-2616
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
900 Saint Francois Ave RM A9
Park Hills, MO 63601-1771
Mailing address
1 Southtowne Dr
Potosi, MO 63664-5729
Other names
- Central Elementary
Other providers in Park Hills, MO
- Great Mines Health Center
- Great Mines Health Center
- Great Mines Health Center
- Great Mines Health Center
- Great Mines Health Center
- Greater Heights RCF, LLC
- Breanna Michelle Griffin
- Amy Hamann
- Harps Food Stores, Inc
- Jamie Harrel
All providers in Park Hills, MO · Federally Qualified Health Center (FQHC) in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.