| Great Mines Health Center | |
| 
					512 State St Rm 101 Mineral Point MO 63660-8208  | |
| (573) 438-9355 | |
| (573) 438-7892 | 
| Full Name | Great Mines Health Center | 
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) | 
| Location | 512 State St Rm 101, Mineral Point, 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 512 State St Rm 101 Mineral Point MO 63660-8208 Ph: (573) 438-9355  | 
| NPI Number | 1891341665 | 
|---|---|
| Provider Enumeration Date | 08/16/2019 | 
| Last Update Date | 08/16/2019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1891341665 | NPI | - | NPPES | 
| H80CS06870-13-02 | Other | HRSA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |