FARMINGTON CLINIC COMPANY LLC (NPI# 1750480885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750480885 |
| Entity Type | Organization |
| Organization Name | FARMINGTON CLINIC COMPANY LLC |
| Other Organization Name | MINERAL AREA PRIMARY CARE |
| Practice Address |
1101 Weber Rd Suite 101 Farmington MO 63640-3326 |
| Mailing Address |
Po Box 504354 Saint Louis MO 63150-0001 |
| Practice Telephone | 5737565701 |
| Practice Fax Number | 5737567107 |
| Mailing Telephone | 5737565701 |
| Mailing Fax Number | 5737567107 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | DEBBIE E BREWER (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 8778929813 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | FARMINGTON CLINIC COMPANY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ========= | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE GROUP NUMBER | 15057 | 01 |
| Other Name | Type Code |
|---|---|
| Mineral Area Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427245240 | Farmington Clinic Company LLC | Obstetrics & Gynecology | 1216 Weber Road, Farmington, MO 63640-3325 | 2007-09-25 |
| 1427244482 | Farmington Clinic Company LLC | Orthopaedic Surgery | Post Office Box 504354, St. Louis, St. Louis, MO 63150-0001 | 2007-09-24 |
| 1740389881 | Farmington Clinic Company LLC | Family Medicine | 1101 Weber Rd Ste 204, Farmington, MO 63640-3300 | 2006-09-22 |
| 1063517613 | Farmington Clinic Company LLC | Clinic/Center | 309 Garrett St, Fredericktown, MO 63645-1084 | 2006-09-14 |
| 1023113917 | Farmington Clinic Company LLC | Family Medicine | 1103 Weber Rd Ste 202, Farmington, MO 63640-3302 | 2006-09-14 |
| 1023065489 | Farmington Clinic Company LLC | Family Medicine | 764 Weber Rd, Farmington, MO 63640-3317 | 2006-05-30 |
| 1063742443 | Farmington Clinic Company LLC | Orthopaedic Surgery | 1101 Weber Rd, Suite 203, Farmington, MO 63640-3352 | 2010-01-06 |
| 1417287897 | Farmington Clinic Company LLC | Urology | 1101 Weber Rd, Suite 303, Farmington, MO 63640-3352 | 2010-01-06 |
| 1669661856 | Farmington Clinic Company LLC | Pediatrics | 1103 Weber Rd Ste 202, Farmington, MO 63640-3302 | 2007-10-24 |
| 1841399979 | Farmington Clinic Company LLC | Family Medicine | 1212 Weber Rd, Farmington, MO 63640-3325 | 2006-09-22 |
| Street Address |
1101 WEBER RD SUITE 101 |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-3326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076377 | Daleco Inc | Pharmacy | 1101 Weber Rd, Farmington, MO 63640-3352 | 2005-07-07 |
| 1073900874 | Kimberly Herbst | Pharmacist | 1101 Weber Rd, Farmington, MO 63640-3352 | 2015-04-20 |
| 1386921195 | Farmington Clinic Company, LLC | Family Medicine | 1101 Weber Rd, Suite 302, Farmington, MO 63640-3352 | 2011-11-08 |
| 1316223944 | Farmington Clinic Company, LLC | Family Medicine | 1101 Weber Rd, Suite 302, Farmington, MO 63640-3352 | 2011-10-27 |
| 1841574779 | Community Orthopedics & Sports Medicine, PC | Orthopaedic Surgery | 1101 Weber Rd, Suite 203, Farmington, MO 63640-3352 | 2011-10-11 |
| 1063742443 | Farmington Clinic Company LLC | Orthopaedic Surgery | 1101 Weber Rd, Suite 203, Farmington, MO 63640-3352 | 2010-01-06 |
| 1417287897 | Farmington Clinic Company LLC | Urology | 1101 Weber Rd, Suite 303, Farmington, MO 63640-3352 | 2010-01-06 |
| 1366600165 | Danielle Redecker | Pharmacist | 1101 Weber Rd, Suite 100, Farmington, MO 63640-3326 | 2008-05-28 |
| 1417128372 | Cardiology Diagnostics, Ltd. | Internal Medicine | 1101 Weber Rd, Suite 105, Farmington, MO 63640-3326 | 2008-03-19 |
| 1548459472 | Coleman Medical Clinic | Family Medicine | 1101 Weber Rd, Suite 303, Farmington, MO 63640-3326 | 2007-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757915 | Tuta Sano Pllc | Family Medicine | 57 W Grove Creek Cir, Farmington, UT 84025-4732 | 2018-07-19 |
| 1063891570 | Jantzen T Slater | Family Medicine | 199 E. Main St., Farmington, AR 72730-3077 | 2015-05-29 |
| 1255759262 | Arthur Wiser | Family Medicine | 101 New Meadow Run Dr Dept Of, Farmington, PA 15437-1391 | 2014-04-07 |
| 1427304203 | Joseph Samuel Emond Jr. | Family Medicine | 19730 Meadowlark Way, Farmington, MN 55024 | 2012-07-30 |
| 1457643835 | Saira Rani | Family Medicine | 406 Farmington Ave Ste 1, Farmington, CT 06032-1964 | 2011-05-04 |
| 1023310158 | Carson Wright | Family Medicine | 16 Munson Rd University of Connecticut, Correctional Managed Health Care, Farmington, CT 06030-5386 | 2010-11-22 |
| 1538471313 | Brett Blaser | Family Medicine | 140 N Union Ave, Ste F-300, Farmington, UT 84025-2953 | 2010-07-08 |
| 1427376300 | Sharon R. Wipf | Family Medicine | 103 New Meadow Run Drive, Farmington, PA 15437 | 2010-05-17 |
| 1609005693 | Vikas Vinodray Bhimani | Family Medicine | 23133 Orchard Lake Rd Ste 102, Farmington, MI 48336-3278 | 2009-07-10 |
| 1699901231 | Daniel Wilford Broadbent | Family Medicine | 991 Shepard Ln, Ste 200, Farmington, UT 84025-2972 | 2009-06-10 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.