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GREAT MINES HEALTH CENTER
NPI 1669654638
Family Medicine in De Soto, MO

Active since December 03, 2007CLIA 26D1009671 · Waiver
123 W PRATT ST, DE SOTO, MO 63020(636) 586-2522(636) 586-2546 Get Directions Write a Review

NPPES record last updated: February 4, 2008. Verified against the NPPES registry weekly; last sync: July 26, 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 1669654638) is a healthcare organization registered as a family medicine in De Soto, Missouri and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through October 1, 2026 and lists Donna L Blount, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1669654638
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGREAT MINES HEALTH CENTER
Location Address123 W PRATT STDe Soto, MO 63020-2107
Mailing Address123 W Pratt StDe Soto, MO 63020-2107 · (636) 586-2522 · Fax (636) 586-2546
Phone(636) 586-2522
Fax(636) 586-2546
Organization SubpartNo
Authorized OfficialDonna L BlountOffice Manager · (573) 438-9355
Enumeration DateDecember 3, 2007
Last NPPES UpdateFebruary 4, 2008
✔ NPI 1669654638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

123 W PRATT ST, De Soto, MO 63020
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D1009671

Great Mines Health Center · Potosi, MO
Active · expires Oct 1, 2026
CLIA Number26D1009671
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorJohn Pearson
Laboratory Phone(573) 438-9355
Laboratory LocationGreat Mines Health Center#1 Southtowne Dr, Potosi, MO 63664
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1669654638. It was assigned to this organization in the NPPES registry on December 3, 2007.

Where is Great Mines Health Center located?

Great Mines Health Center is located at 123 W Pratt St, De Soto, MO 63020. The listed phone number is (636) 586-2522.

What is Great Mines Health Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Great Mines Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1009671) is associated with this NPI, valid through October 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Great Mines Health Center was last updated on February 4, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.