Fredericktown Primary Care
LBN: Farmington Clinic Company Llc
Fredericktown Primary Care is an health care organization with primary practice located at 309 Garrett St , Fredericktown MO 63645-1084. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Farmington Clinic Company Llc can be contacted via phone (573) 783-4683, or through Portacci, Michael via phone (615) 465-7029.
Contact Information
Primary practice address
309 Garrett St
Fredericktown MO 63645-1084
Phone: (573) 783-4683
Fax: (573) 783-4684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Missouri | |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1063517613 |
|---|---|
| LBN Legal business name | Farmington Clinic Company Llc |
| DBA Doing business as | Fredericktown Primary Care |
| Authorized official | Portacci, Michael |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063517613 | NPPES |
| Missouri | Other | 15055 | MEDICARE GROUP NUMBER |
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