# FARMINGTON CLINIC COMPANY LLC

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

## Provider details

- **NPI number:** 1023113917
- **Legal business name:** FARMINGTON CLINIC COMPANY LLC
- **Authorized official:** DANIEL S SLIPKOVICK (CEO CAPELLA HEALTHCARE)
- **Authorized official phone:** (615) 764-3049

## Contact information

- **Practice address:** 1103 WEBER RD STE 202, FARMINGTON, MO 63640-3302
- **Practice address phone:** (573) 756-3662
- **Practice address fax:** (573) 756-3640
- **Mailing address:** PO BOX 9489, BELFAST, ME 04915-9489
- **Mailing address phone:** (573) 756-3662
- **Mailing address fax:** (573) 756-3640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 12/19/2011