# FARMINGTON CLINIC COMPANY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmington Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316223944
- **Authorized official:** MR. DANIEL S SLIPKOVICH (CEO)
- **Authorized official phone:** (866) 315-9221

## Contact information

- **Practice address:** 1101 WEBER RD, SUITE 302, FARMINGTON, MO 63640-3352
- **Practice address phone:** (573) 756-5787
- **Practice address fax:** (573) 756-4206
- **Mailing address:** PO BOX 9489, BELFAST, ME 04915-9489
- **Mailing address phone:** (573) 756-5787
- **Mailing address fax:** (573) 756-4206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 268973 | MO | — |
| 261QR1300X | Rural Health Clinic/Center | 268973 | MO | Yes |

## Other

- **Enumeration date:** 10/27/2011
- **Last updated:** 12/12/2011