Farmington Clinic Company LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FARMINGTON CLINIC COMPANY LLC

Doing business as

Mineral Area Hospitalist

Practice address

1212 Weber Rd
Farmington, MO 63640-3325

Phone

(573) 756-3662

Fax

(573) 756-3640

NPI assigned

Sep 22, 2006

Last updated

Jul 21, 2022By the provider in NPPES

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

Daniel S Slipkovich

Title

Ceo

Phone

(615) 764-3049

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mineral Area Hospitalist Doing business as

Part of

Farmington Clinic Company L

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1841399979",
    "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": "573-701-7485",
            "fax_number": "573-756-3640"
        },
        {
            "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": "573-756-3662",
            "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": "2006-09-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SLIPKOVICH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-764-3049"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507590909",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "15052",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mineral Area Hospitalist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Farmington Clinic Company LLC (Mineral Area Urology)
• Farmington Clinic Company LLC (Women's Health and Wellness Center)
• Farmington Clinic Company LLC (Mineral Area Doctors)
• Farmington Clinic Company LLC (Mineral Area Health Care)
• Farmington Clinic Company LLC (Mineral Area Primary Care)
• Farmington Clinic Company LLC (Maple Valley Primary Care)
• Farmington Clinic Company, LLC (Farmington Primary Care)
• Farmington Clinic Company, LLC (Farmington Primary Care)
• Farmington Ear, Nose, and Throat, LLC
• Farmington Emergency Group LLC

• Family Medicine Physician in Farmington, MO
• Providers in Farmington, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.