Active NPI
Farmington Clinic Company LLC
Doing business as Mineral Area Doctors
- Pediatrics Physician
- Farmington, MO
National Provider Identifier
1669661856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- FARMINGTON CLINIC COMPANY LLC
- Doing business as
- Mineral Area Doctors
- Practice address
- 1103 Weber Rd Ste 202
Farmington, MO 63640-3302 - Phone
- (573) 756-3662
- Fax
- (573) 756-3640
- NPI assigned
- Oct 24, 2007
- Organization subpart
- Yes
- Parent organization
- FARMINGTON CLINIC COMPANY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel S. Slipkovich
- Title
- Ceo Capella Healthcare
- Phone
- (615) 764-3049
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
1103 Weber Rd Ste 202
Farmington, MO 63640-3302
Mailing address
PO Box 9489
Belfast, ME 04915-9489
Phone (573) 756-3662
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 507621803 | Medicaid | MO |
Other names 1
- Mineral Area Doctors
National Provider Directory
National Provider Directory- Part of
- Farmington Clinic Company L
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287705600000",
"number": "1669661856",
"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": "573-756-3662",
"fax_number": "573-756-3640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 WEBER RD STE 202",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636403302",
"telephone_number": "573-756-3662",
"fax_number": "573-756-3640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FARMINGTON CLINIC COMPANY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FARMINGTON CLINIC COMPANY LLC",
"enumeration_date": "2007-10-24",
"last_updated": "2010-10-22",
"status": "A",
"authorized_official_last_name": "SLIPKOVICH",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "CEO CAPELLA HEALTHCARE",
"authorized_official_telephone_number": "615-764-3049"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "507621803",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mineral Area Doctors",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Farmington, MO
- Farmington Clinic Company LLC (Mineral Area Doctors)
- Farmington Clinic Company LLC (Mineral Area Orthopedics)
- Farmington Clinic Company LLC
- Farmington Clinic Company LLC (Mineral Area Urology)
- Farmington Clinic Company LLC (Women's Health and Wellness Center)
- Farmington Clinic Company LLC (Mineral Area Health Care)
- Farmington Clinic Company LLC (Mineral Area Primary Care)
- Farmington Clinic Company LLC (Mineral Area Hospitalist)
- Farmington Clinic Company LLC (Maple Valley Primary Care)
- Farmington Clinic Company, LLC (Farmington Primary Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.