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Organization
FARMINGTON CLINIC COMPANY LLC
Active
Organization
FARMINGTON CLINIC COMPANY LLC
Active
Parent organization
FARMINGTON CLINIC COMPANY LLC
Other names
Mineral Area Doctors
Organization subpart
Yes
Provider details
NPI number
Legal business name
FARMINGTON CLINIC COMPANY LLC
Authorized official
DANIEL S SLIPKOVICK (CEO CAPELLA HEALTHCARE)
(615) 764-3049
Entity
Organization
Contact information
Practice address
1103 WEBER RD STE 202, FARMINGTON, MO 63640-3302
(573) 756-3662
(573) 756-3640
Mailing address
PO BOX 9489, BELFAST, ME 04915-9489
(573) 756-3662
(573) 756-3640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/14/2006
Last updated
12/19/2011
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