Organization · Type 2 NPI
Great Mines Health Center
Federally Qualified Health Center (FQHC) · Richwoods, MO
NPI number
1922562172
Active
Practice location
10788 State Highway A Rm 128
Richwoods, MO 63071-2548
Fax (573) 438-7892
Mailing address
PO Box 761
Potosi, MO 63664-0761
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 1922562172
Great Mines Health Center's National Provider Identifier is 1922562172, issued on Jan 22, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Richwoods, MO. The record was last updated on Jan 22, 2019.