# FARMINGTON CLINIC COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FARMINGTON CLINIC COMPANY LLC
- **Other names:** Bonne Terre Primary Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841398773
- **Legal business name:** FARMINGTON CLINIC COMPANY LLC
- **Authorized official:** DANIEL S. SLIPKOVICH (CEO)
- **Authorized official phone:** (615) 764-3000

## Contact information

- **Practice address:** 55 NESBIT DR, BONNE TERRE, MO 63628-1353
- **Practice address phone:** (573) 358-1480
- **Practice address fax:** (573) 358-1489
- **Mailing address:** TWO CORPORATE CENTRE, SUITE 200, FRANKLIN, TN 37067-2662
- **Mailing address phone:** (615) 764-3000
- **Mailing address fax:** (615) 764-3030

## Taxonomy

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

## Other

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