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
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