Great Mines Health Center in Potosi - Federally Qualified Health Center (fqhc)
Great Mines Health Center - NPI 1376536953
Great Mines Health Center is a Federally Qualified Health Center (fqhc) in Potosi, Missouri. Great Mines Health Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Great Mines Health Center is 1376536953. The last update date is 2009-06-23.
Great Mines Health Center's current location address is #1 Southtowne Drive, Potosi, Missouri. You can contact this provider via phone number 5734389355 and fax number 5734387892. The mailing address for Great Mines Health Center is #1 Southtowne Drive, Potosi, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Mines Health Center |
|---|---|
| Address | #1 Southtowne Drive, Potosi, Missouri |
| Phone Number | 5734389355 |
| Fax Number | 5734387892 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Johnson L Michael |
| Telephone Number | 5734389355 |
NPI Number Detail
| NPI Number | 1376536953 |
|---|---|
| Provider Enumeration Date | 2005-08-29 |
| Last Updated Date | 2009-06-23 |
Provider Mailing Address Detail
| Address | #1 Southtowne Drive |
|---|---|
| City | Potosi |
| State | Missouri (MO) |
| Post Code | 636641455 |
| Phone Number | 5734389355 |
| Fax Number | 5734387892 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 26-1878 | MO | UNITED GOVERNMENT SERVICE | |
| 509215109 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Great Mines Health Center by the Centers for Medicare & Medicaid Services (CMS)?
The Great Mines Health Center has been assigned the NPI (National Provider Identifier) 1376536953. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Great Mines Health Center is located?
The Great Mines Health Center is situated at the following address: #1 Southtowne Drive, Potosi, MO, 636641455.
What is the area of specialization for Great Mines Health Center, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Great Mines Health Center is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of expertise is 261Qf0400X.
When did the Great Mines Health Center receive its 1376536953?
The Great Mines Health Center was issued its 1376536953 on 2005-08-29, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Great Mines Health Center last refreshed?
The information related to the Great Mines Health Center, including its address, specialty, and other relevant details, was last updated on 2009-06-23.
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