# FARMINGTON CLINIC COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FARMINGTON CLINIC COMPANY LLC
- **Other names:** Mineral Area Primary Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023065489
- **Legal business name:** FARMINGTON CLINIC COMPANY LLC
- **Authorized official:** MR. DONALD MCDANIEL (CFO)
- **Authorized official phone:** (573) 756-4581

## Contact information

- **Practice address:** 764 WEBER RD, FARMINGTON, MO 63640-3317
- **Practice address phone:** (573) 756-2123
- **Practice address fax:** (573) 756-2761
- **Mailing address:** PO BOX 9489, BELFAST, ME 04915-9489
- **Mailing address phone:** (573) 756-2123
- **Mailing address fax:** (573) 756-2761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261Q00000X | Clinic/Center | 000014942 | MO | — |
| 261QR1300X | Rural Health Clinic/Center | 184-46 | MO | Yes |

## Other

- **Enumeration date:** 05/30/2006
- **Last updated:** 06/15/2012