Organization
FARMINGTON CLINIC COMPANY LLC
Active
Parent organization
FARMINGTON CLINIC COMPANY LLC
Other names
Mineral Area Hospitalist
Organization subpart
Yes
Provider details
NPI number
Legal business name
FARMINGTON CLINIC COMPANY LLC
Authorized official
DANIEL S SLIPKOVICH (CEO)
(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) 701-7485
(573) 756-3640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15052
MEDICARE GROUP NUMBER
MO
05
—
507590909
—
MO
Enumeration date
09/22/2006
Last updated
07/21/2022
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