Organization
FARMINGTON CLINIC COMPANY LLC
Active
Parent organization
FARMINGTON CLINIC COMPANY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FARMINGTON CLINIC COMPANY LLC
Authorized official
DANIEL S SLIPKOVICH (CEO CAPELLA HEALTHCARE)
(615) 764-3049
Entity
Organization
Contact information
Practice address
1212 WEBER RD, FARMINGTON, MO 63640-3325
(573) 756-3662
(573) 756-3640
Mailing address
PO BOX 9489, BELFAST, ME 04915-9489
(573) 756-3662
(573) 756-3640
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
503111908
—
MO
Enumeration date
05/17/2006
Last updated
09/26/2013
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