| Great Mines Health Center | |
|
206 Church Street Room4 Leadwood MO 63653-1132 | |
| (573) 438-9355 | |
| (573) 438-7892 |
| Full Name | Great Mines Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 206 Church Street, Leadwood, 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 206 Church Street Room4 Leadwood MO 63653-1132 Ph: (573) 438-9355 |
| NPI Number | 1801446109 |
|---|---|
| Provider Enumeration Date | 09/18/2019 |
| Last Update Date | 09/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801446109 | NPI | - | NPPES |
| H80CS066701404 | Other | HRSA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Great Mines Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1124 Main St Rm Nb103, Leadwood, MO 63653 Phone: 573-438-9535 |