Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Farmington Clinic Company LLC

Organization Family Medicine Physician · NPI 1962501098

Farmington Clinic Company LLC is a Family Medicine Physician in Farmington, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

751 Maple Valley Dr
Farmington, MO 63640-1944
Phone: (573) 756-1800
Fax: (573) 756-4476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (MO)

Record details

NPI number1962501098
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFarmington Clinic Company LLC
Authorized official Michael Portacci — President · (615) 465-7029
Other names Maple Valley Primary Care
NPI enumeratedSeptember 22, 2006
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 504354, Saint Louis, MO 63150-0001

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