Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Mines Health Center

Organization Family Medicine Physician · NPI 1750563722

Great Mines Health Center is a Family Medicine Physician in Farmington, Missouri. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2

Practice location Address checks out

530 N Middle St
Farmington, MO 63640-1570
Phone: (573) 756-8660
Fax: (573) 756-5414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1750563722
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Johnson — Ceo · (573) 438-8321
NPI enumeratedDecember 3, 2007
Last updated in NPPESJune 11, 2013
Mailing address530 N Middle St, Farmington, MO 63640-1570

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