NPI: 1790332757 · PARK HILLS, MO 63601 · Federally Qualified Health Center (FQHC) · NPI assigned 08/23/2019
| Authorized Official | ROEBACK, GREGORY (CEO) |
| NPI Enumeration Date | 08/23/2019 |
Other providers sharing the same authorized official: ROEBACK, GREGORY
| Provider | City | State | Total Paid |
|---|---|---|---|
| GREAT MINES HEALTH CENTER | FARMINGTON | MO | $1.23M |
| GREAT MINES HEALTH CENTER | CADET | MO | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 131 | $9K |
| 2023 | 85 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes with patient | 216 | 119 | $16K |