# FARMINGTON CLINIC COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FARMINGTON CLINIC COMPANY LLC
- **Other names:** Women's Health and Wellness Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1427245240
- **Legal business name:** FARMINGTON CLINIC COMPANY LLC
- **Authorized official:** DEBBIE T BREWER (DIRECTOR PROVIDER ENROLLMENT)
- **Authorized official phone:** (877) 892-9813

## Contact information

- **Practice address:** 1216 WEBER ROAD, FARMINGTON, MO 63640-3325
- **Practice address phone:** (573) 454-2401
- **Practice address fax:** (573) 454-2405
- **Mailing address:** 1216 WEBER ROAD, FARMINGTON, MO 63640-3325
- **Mailing address phone:** (573) 454-2401
- **Mailing address fax:** (573) 454-2405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/25/2007
- **Last updated:** 01/25/2008