GREAT MINES HEALTH CENTER NPI 1790350189

NPI Information

NPI: 1790350189
Provider Name: GREAT MINES HEALTH CENTER

Doing Business As: WEST COUNTY MIDDLE SCHOOL

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
728 HIGHWAY M RM 113
PARK HILLS, MO
ZIP 63601
Phone: (573) 438-9355
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GREAT MINES HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Park Hills, MO. GREAT MINES HEALTH CENTER NPI is 1790350189. The provider is registered as an organization entity type.
The provider Is Doing Business As West County Middle School.

The provider's business location address is:

728 HIGHWAY M RM 113
PARK HILLS, MO
ZIP 63601-321
Phone: (573) 438-9355

The provider's authorized official is Gregory A Roeback .
The authorized official title is Ceo and has the following contact phone number (573) 438-8380.

The enumeration date for this NPI number is 5/26/2021 and was last updated on 9/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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