| West County Middle School | |
|
728 Highway M Rm 113 Park Hills MO 63601-9321 | |
| (573) 438-9355 | |
| Not Available |
| Full Name | West County Middle School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 728 Highway M Rm 113, 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 |
|---|---|
| West County Middle School Po Box 761 Potosi MO 63664-0761 Ph: (573) 438-9355 | West County Middle School 728 Highway M Rm 113 Park Hills MO 63601-9321 Ph: (573) 438-9355 |
| NPI Number | 1790350189 |
|---|---|
| Provider Enumeration Date | 05/26/2021 |
| Last Update Date | 09/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790350189 | 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: 116 Rebel Dr Rm 201, Park Hills, MO 63601 Phone: 573-431-2616 | |
West County High School 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 |