GREAT MINES HEALTH CENTER
NPI 1376536953
Clinic/Center - Federally Qualified Health Center (FQHC) in Potosi, MO

Active since August 29, 2005
#1 SOUTHTOWNE DRIVE, POTOSI, MO 63664(573) 438-9355(573) 438-7892 Get Directions Write a Review

NPPES record last updated: June 23, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Great Mines Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT MINES HEALTH CENTER (NPI 1376536953) is a healthcare organization registered as a federally qualified health center (fqhc) in Potosi, Missouri and active in the NPI registry since August 2005. The organization lists Michael L Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376536953
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGREAT MINES HEALTH CENTER
Location Address#1 SOUTHTOWNE DRIVEPotosi, MO 63664-1455
Mailing Address#1 Southtowne DrivePotosi, MO 63664-1455 · (573) 438-9355 · Fax (573) 438-7892
Fax(573) 438-7892
Organization SubpartNo
Authorized OfficialMichael L JohnsonCeo · (573) 438-9355
Enumeration DateAugust 29, 2005
Last NPPES UpdateJune 23, 2009
NPI 1376536953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X

Other Identifiers 3

Other26-1878MO · United Government Service
Medicare ID-Type Unspecified990001810MO
Medicaid509215109MO

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376536953, enumerated as an "organization" on August 29, 2005.

The provider is located at #1 SOUTHTOWNE DRIVE POTOSI, MO 63664 and the phone number is (573) 438-9355.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.