| Great Mines Health Center | |
|
10047 Diamond Rd Rm 2 Cadet MO 63630-9581 | |
| (573) 438-9355 | |
| Not Available |
| Full Name | Great Mines Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 10047 Diamond Rd Rm 2, Cadet, Missouri |
| Authorized Official Name and Position | Gregory A Roeback (CEO) |
| Authorized Official Contact | 5734388380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Mines Health Center 1 Southtowne Dr Potosi MO 63664-5729 Ph: () - | Great Mines Health Center 10047 Diamond Rd Rm 2 Cadet MO 63630-9581 Ph: (573) 438-9355 |
| NPI Number | 1437872223 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 09/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437872223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Great Mines Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10047 Diamond Rd Rm 809, Cadet, MO 63630 Phone: 573-438-4982 Fax: 573-438-1212 | |
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