| Great Mines Health Center | |
| 
					116 Rebel Dr Rm 201 Park Hills MO 63601-2508  | |
| (573) 431-2616 | |
| Not Available | 
| Full Name | Great Mines Health Center | 
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) | 
| Location | 116 Rebel Dr Rm 201, Park Hills, 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 116 Rebel Dr Rm 201 Park Hills MO 63601-2508 Ph: (573) 431-2616  | 
| NPI Number | 1003551797 | 
|---|---|
| Provider Enumeration Date | 04/28/2022 | 
| Last Update Date | 04/28/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003551797 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary | 
Great Mines Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 768 Highway M Rm 200, Park Hills, MO 63601 Phone: 573-438-9355  | |
Great Mines Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 W Fite St Rm 201, Park Hills, MO 63601 Phone: 573-431-2616  | |
Great Mines Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Columbia St Rm 216, Park Hills, MO 63601 Phone: 573-431-2616  | |
Great Mines Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 W Fite St Rm 5, Park Hills, MO 63601 Phone: 573-438-9355  | |
Great Mines Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 Chariton Ave Rm 103, Park Hills, MO 63601 Phone: 573-438-9355 Fax: 573-438-7892  | |
Great Mines Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 728 Highway M Rm 113, Park Hills, MO 63601 Phone: 573-438-9355  |