Great Mines Health Center
NPI 1124693510 · Federally Qualified Health Center (FQHC) · Leadwood, MO
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Mines Health Center is a Federally Qualified Health Center (FQHC) organization in Leadwood, MO (NPI 1124693510).
Provider details
- NPI number
- 1124693510
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gregory Roeback, Ceo(573) 438-8359
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Registry dates
- Enumerated
- 2021-05-26
- Last updated
- 2021-05-26
- Certified
- 2021-05-14
Frequently asked questions
- What is Great Mines Health Center's NPI number?
- Great Mines Health Center's National Provider Identifier (NPI) is 1124693510, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Mines Health Center?
- Great Mines Health Center is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Great Mines Health Center located?
- Great Mines Health Center's practice location on file with NPPES is 1124 Main St Rm Nb103, Leadwood, MO 63653-1214.
- What is Great Mines Health Center's phone number?
- The practice phone number listed in the NPPES registry for Great Mines Health Center is (573) 438-9535.
- Does Great Mines Health Center accept Medicare?
- Great Mines Health Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Great Mines Health Center?
- The authorized official listed on Great Mines Health Center's NPPES record is Gregory Roeback, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Mines Health Center's NPI active?
- Yes — Great Mines Health Center's NPI (1124693510) is active in the NPPES registry as of the last update on 2021-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.