# 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:** 1750480885
- **Legal business name:** FARMINGTON CLINIC COMPANY LLC
- **Authorized official:** DEBBIE E BREWER MBA (DIRECTOR OF PROVIDER ENROLLMENT)
- **Authorized official phone:** (877) 892-9813

## Contact information

- **Practice address:** 1101 WEBER RD, SUITE 101, FARMINGTON, MO 63640-3326
- **Practice address phone:** (573) 756-5701
- **Practice address fax:** (573) 756-7107
- **Mailing address:** PO BOX 504354, SAINT LOUIS, MO 63150-0001
- **Mailing address phone:** (573) 756-5701
- **Mailing address fax:** (573) 756-7107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | MO | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 07/21/2022