Organization · Type 2 NPI

Great Mines Health Center

Federally Qualified Health Center (FQHC) · Leadwood, MO

NPI number 1124693510 Active

Practice location

1124 Main St Rm NB103
Leadwood, MO 63653-1214

Mailing address

PO Box 761
Potosi, MO 63664-0761

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1124693510

Great Mines Health Center's National Provider Identifier is 1124693510, issued on May 26, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Leadwood, MO. The record was last updated on May 26, 2021.