Organization · Type 2 NPI
Great Mines Health Center
Federally Qualified Health Center (FQHC) · Potosi, MO
NPI number
1376536953
Active
Practice location
#1 Southtowne Drive
Potosi, MO 63664-1455
Fax (573) 438-7892
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1376536953
Great Mines Health Center's National Provider Identifier is 1376536953, issued on Aug 29, 2005. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Potosi, MO. The record was last updated on Jun 23, 2009.