GREAT MINES HEALTH CENTER
NPI 1376536953
Clinic/Center - Federally Qualified Health Center (FQHC) in Potosi, MO
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
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Great Mines Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date 2
Next revalidation due by October 31, 2026
This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
35Medicare enrollment records show 35 clinicians reassign Medicare billing to Great Mines Health Center, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 35Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Great Mines Health Center's NPI number?
The NPI number for Great Mines Health Center is 1376536953. It was assigned to this organization in the NPPES registry on August 29, 2005.
Where is Great Mines Health Center located?
Great Mines Health Center is located at #1 Southtowne Drive, Potosi, MO 63664. The listed phone number is (573) 438-9355.
What is Great Mines Health Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Great Mines Health Center enrolled in Medicare?
Yes. Great Mines Health Center is registered in the Medicare PECOS enrollment system.
When is Great Mines Health Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), Great Mines Health Center holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by October 31, 2026 (Part A, Missouri, Federally Qualified Health Center (FQHC)). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Great Mines Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 10 Medicare specialties reassign their Medicare billing to Great Mines Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (13), Clinical Social Worker (6) and Mental Health Counselor (5). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Great Mines Health Center accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Great Mines Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Great Mines Health Center was last updated on June 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Great Mines Health Center · NPI 1376536953
Federally Qualified Health Center (FQHC) organization in Potosi, Missouri. Organization record, active in the CMS NPPES registry since August 29, 2005.
## Identity
- **NPI:** 1376536953 (Entity type: Organization)
- **Enumerated:** August 29, 2005
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Michael Johnson, CEO
## Practice location
- **Address:** #1 SOUTHTOWNE DRIVE, Potosi, MO 63664-1455
- **Phone:** (573) 438-9355 · **Fax:** (573) 438-7892
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Part A, Missouri, Federally Qualified Health Center (FQHC)), next of 2 enrollments with upcoming dates · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 35 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Clinical Social Worker (6), Mental Health Counselor (5); [full list](https://npiprofile.com/npi/1376536953/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 23, 2009
- **Other identifiers:** Other 26-1878 (MO); Medicare ID-Type Unspecified 990001810 (MO); Medicaid 509215109 (MO)
---
Source: [NPI Profile](https://npiprofile.com/npi/1376536953) · Data from the CMS NPPES public registry.