Organization · Type 2 NPI

Great Mines Health Center

Federally Qualified Health Center (FQHC) · Leadwood, MO

NPI number 1801446109 Active

Practice location

206 Church Street, ROOM4
Leadwood, MO 63653-1132

Fax (573) 438-7892

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 1801446109

Great Mines Health Center's National Provider Identifier is 1801446109, issued on Sep 18, 2019. 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 Sep 18, 2019.