Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Farmington Clinic Company LLC

Organization Family Medicine Physician · NPI 1063517613

Farmington Clinic Company LLC provides Family Medicine Physician services in Fredericktown, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

309 Garrett St
Fredericktown, MO 63645-1084
Phone: (573) 783-4683
Fax: (573) 783-4684
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (MO)
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1063517613
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFarmington Clinic Company LLC
Authorized official Michael Portacci — President · (615) 465-7029
Other names Fredericktown Primary Care
NPI enumeratedSeptember 14, 2006
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 504354, Saint Louis, MO 63150-0001

Other providers in Fredericktown