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 1962501098

Farmington Clinic Company LLC provides Family Medicine Physician services 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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