Organization
FARMINGTON CLINIC COMPANY LLC
Active
Parent organization
FARMINGTON CLINIC COMPANY LLC
Other names
Mineral Area Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
FARMINGTON CLINIC COMPANY LLC
Authorized official
MR. DONALD MCDANIEL (CFO)
(573) 756-4581
Entity
Organization
Contact information
Practice address
764 WEBER RD, FARMINGTON, MO 63640-3317
(573) 756-2123
(573) 756-2761
Mailing address
PO BOX 9489, BELFAST, ME 04915-9489
(573) 756-2123
(573) 756-2761
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
000014942
MO
261QR1300X
Rural Health Clinic/Center
Primary
184-46
MO
Other
Enumeration date
05/30/2006
Last updated
06/15/2012
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