Organization · Type 2 NPI

Great Mines Health Center

Federally Qualified Health Center (FQHC) · Farmington, MO

NPI number 1750563722 Active

Practice location

530 N Middle St
Farmington, MO 63640-1570

Call (573) 756-8660 Map

Fax (573) 756-5414

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1750563722

Great Mines Health Center's National Provider Identifier is 1750563722, issued on Dec 3, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Farmington, MO. The record was last updated on Jun 11, 2013.