Bonne Terre Primary Care

LBN: Farmington Clinic Company Llc
Bonne Terre Primary Care is an health care organization with primary practice located at 55 Nesbit Dr , Bonne Terre MO 63628-1353. 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) 358-1480, or through Slipkovich, Daniel S. via phone (615) 764-3000.

Contact Information

Primary practice address
55 Nesbit Dr Bonne Terre MO 63628-1353
Fax: (573) 358-1489
Website:
Authorized official contact:
Name: Slipkovich, Daniel S.

Health care specialties

Profile Details

NPI number 1841398773
LBN Legal business name Farmington Clinic Company Llc
DBA Doing business as Bonne Terre Primary Care
Authorized official Slipkovich, Daniel S.
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841398773 NPPES
Missouri Other 15054 MEDICARE GROUP NUMBER
Missouri MEDICAID 504907908 MEDICARE GROUP NUMBER

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