Farmington Clinic Company LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

184-46 Issued in MO

Legal business name

FARMINGTON CLINIC COMPANY LLC

Practice address

764 Weber Rd
Farmington, MO 63640-3317

Phone

(573) 756-2123

Fax

(573) 756-2761

NPI assigned

May 30, 2006

Organization subpart

Yes

Parent organization

FARMINGTON CLINIC COMPANY LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Donald McDaniel

Title

Cfo

Phone

(573) 756-4581

Specialties & licenses 3

Addresses

Other names 1

• Mineral Area Primary Care Doing business as

Part of

Farmington Clinic Company L

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1023065489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9489",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159489",
            "telephone_number": "573-756-2123",
            "fax_number": "573-756-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 WEBER RD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403317",
            "telephone_number": "573-756-2123",
            "fax_number": "573-756-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON CLINIC COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FARMINGTON CLINIC COMPANY LLC",
        "enumeration_date": "2006-05-30",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "573-756-4581",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "000014942",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": "184-46",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mineral Area Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Everside Health, LLC
• Deborah Ann Fajkowski, RN
• Family Counseling Center, Inc.
• Xiaohui Fan, MD
• Farmington Assisted Living Center, LLC
• Farmington Clinic Company LLC
• Farmington Clinic Company LLC
• Farmington Clinic Company LLC
• Farmington Clinic Company LLC
• Farmington Clinic Company LLC

• Rural Health Clinic/Center in Farmington, MO
• Providers in Farmington, MO by specialty
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.