Organization Active NPI

Farmington Missouri Hospital Company, LLC

  • Emergency Medicine Physician
  • Farmington, MO
National Provider Identifier
1497784987
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
FARMINGTON MISSOURI HOSPITAL COMPANY, LLC
Practice address
1212 Weber Rd
Farmington, MO 63640-3325
Phone
(573) 756-4581
Fax
(573) 756-5834
NPI assigned
Jun 30, 2006
Organization subpart
Yes
Parent organization
FARMINGTON MISSOURI HOSPITAL COMPANY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Debbie T Brewer
Title
Director of Provider Enrollment
Phone
(615) 465-7626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

1212 Weber Rd
Farmington, MO 63640-3325

Mailing address

1212 Weber Rd
Farmington, MO 63640-3325
Phone (573) 756-4581

Other names 1

  • Mineral Area ER Associates Doing business as

National Provider Directory

National Provider Directory
Part of
Farmington Missouri Hospital Company LLC

Locations

1212 Weber Rd
Farmington, MO 63640
Phone (573) 756-3662

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1497784987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 WEBER RD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403325",
            "telephone_number": "573-756-4581",
            "fax_number": "573-756-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 WEBER RD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403325",
            "telephone_number": "573-756-4581",
            "fax_number": "573-756-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON MISSOURI HOSPITAL COMPANY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FARMINGTON MISSOURI HOSPITAL COMPANY, LLC",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR OF PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "615-465-7626"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mineral Area ER Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.