| Farmington Missouri Hospital Company Llc | |
|
1212 Weber Road Farmington MO 63640 | |
| (573) 756-4581 | |
| (573) 756-5834 |
| Full Name | Farmington Missouri Hospital Company Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1212 Weber Road, Farmington, Missouri |
| Authorized Official Name and Position | Michael T Portacci (SR VICE PRESIDENT) |
| Authorized Official Contact | 6154657000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farmington Missouri Hospital Company Llc 1212 Weber Road Farmington MO 63640 Ph: (573) 756-4581 | Farmington Missouri Hospital Company Llc 1212 Weber Road Farmington MO 63640 Ph: (573) 756-4581 |
| NPI Number | 1538199112 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538199112 | NPI | - | NPPES |
| 2047951132 | Other | MO | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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Mineral Area Doctors Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 Weber Rd Ste 202, Farmington, MO 63640 Phone: 573-756-3662 Fax: 573-756-3640 | |
Great Mines Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Forster St Rm E2a, Farmington, MO 63640 Phone: 573-438-9355 | |
Great Mines Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 608 Pine St Ofc 2, Farmington, MO 63640 Phone: 573-438-9355 | |
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