OrganizationActive
Great Mines Health Center
NPI 1003551797 · Federally Qualified Health Center (FQHC) · Park Hills, MO
Provider details
- NPI number
- 1003551797
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gregory Roeback, Ceo(573) 438-8380
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
116 Rebel Dr Rm 201
Park Hills, MO 63601-2508
Phone: (573) 431-2616
Street-level locationGet directions
Mailing address
1 Southtowne Dr
Potosi, MO 63664-5729
Other names (DBA / former)
- Doing business as
- Central High School
Registry dates
- Enumerated
- 2022-04-28
- Last updated
- 2022-04-28
- Certified
- 2022-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.