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FARMINGTON CLINIC COMPANY LLC NPI 1841398773


NPI Information

NPI: 1841398773
Provider Name: FARMINGTON CLINIC COMPANY LLC

Doing Business As: BONNE TERRE PRIMARY CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
55 NESBIT DR
BONNE TERRE, MO
ZIP 63628
Phone: (573) 358-1480
Get Directions

FARMINGTON CLINIC COMPANY LLC is a family medicine in Bonne Terre, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FARMINGTON CLINIC COMPANY LLC NPI is 1841398773. The provider is registered as an organization entity type.
The provider Is Doing Business As Bonne Terre Primary Care.

The provider's business location address is:

55 NESBIT DR
BONNE TERRE, MO
ZIP 63628-353
Phone: (573) 358-1480
Fax: (573) 358-1489

The provider's authorized official is Daniel S. Slipkovich .
The authorized official title is Ceo and has the following contact phone number (615) 764-3000.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthNo
2207Q00000XFamily MedicineMISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
115054OTHERMISSOURIMEDICARE GROUP NUMBER
2504907908MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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