Organization
GREAT MINES HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY ROEBACK (CEO)
(573) 438-8380
Entity
Organization
Contact information
Practice address
1401 MAPLE ST, FARMINGTON, MO 63640-8066
(573) 664-1100
Mailing address
1401 MAPLE ST, FARMINGTON, MO 63640-8066
(573) 664-1100
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/07/2013
Last updated
08/19/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up