institution
Great Mines Health Center
Federally Qualified Health Center (FQHC) in Potosi, Missouri
NPI 1376536953

Great Mines Health Center is a Federally Qualified Health Center (FQHC) based in Potosi, MO and is specialized in Federally Qualified Health Center (FQHC). Great Mines Health Center practices in Potosi, MO. The NPI Number for Great Mines Health Center is 1376536953 and holds a License No. (Missouri).

The current practice location address for Great Mines Health Center is #1 Southtowne Drive, Potosi, MO and can be reached out via phone at 573-438-9355 and via fax at 573-438-7892.

Location: #1 Southtowne Drive, Potosi, MO, 63664-1455
institution
Provider Profile Details
NPI Number
1376536953
Provider Name
Great Mines Health Center
Credential
Provider Entity Type
Organization
Address
#1 Southtowne Drive, Potosi, MO, 63664-1455
Phone Number
573-438-9355
Fax Number
573-438-7892
Provider Enumeration Date
08/29/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
26-1878 01 MO UNITED GOVERNMENT SERVICE
509215109 05 MO
institution
Provider Business Practice Location Address Details
Address
#1 Southtowne Drive
City
State
Zip
63664-1455
Phone Number
573-438-9355
Fax Number
573-438-7892
person
Provider Business Mailing Address Details
Address
#1 Southtowne Drive
City
State
Zip
63664-1455
Phone Number
573-438-9355
Fax Number
573-438-7892
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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