FREDERICKTOWN PRIMARY CARE
NPI 1063517613
Family Medicine in Fredericktown, MO

Active since September 14, 2006
309 GARRETT ST, FREDERICKTOWN, MO 63645(573) 783-4683(573) 783-4684 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jun 20, 2018 (2 updates tracked since 2018).

About Fredericktown Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDERICKTOWN PRIMARY CARE (NPI 1063517613) is a healthcare organization registered as a family medicine in Fredericktown, Missouri and active in the NPI registry since September 2006. The organization lists Michael Portacci, President, as its authorized official.

NPPES Registry Identity

NPI1063517613
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFARMINGTON CLINIC COMPANY LLC
Location Address309 GARRETT STFredericktown, MO 63645-1084
Mailing AddressPo Box 504354Saint Louis, MO 63150-0001 · (573) 783-4683 · Fax (573) 783-4684
Fax(573) 783-4684
Organization SubpartYes
Authorized OfficialMichael PortacciPresident · (615) 465-7029
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1063517613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

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.

Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
309 GARRETT ST, Fredericktown, MO 63645

Other Names 1

Doing Business AsFredericktown Primary Care

Other Identifiers 1

Other15055MO · Medicare Group Number

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
309 GARRETT ST
FREDERICKTOWN, MO 63645
Counselor (Professional)
309 GARRETT ST
FREDERICKTOWN, MO 63645
Psychiatry & Neurology (Psychiatry)
309 GARRETT ST
FREDERICKTOWN, MO 63645
Counselor (Mental Health)
309 GARRETT ST
FREDERICKTOWN, MO 63645
Counselor (Professional)
309 GARRETT ST
FREDERICKTOWN, MO 63645
Counselor
309 GARRETT ST
FREDERICKTOWN, MO 63645
Nurse Practitioner (Psychiatric/Mental Health)
309 GARRETT ST
FREDERICKTOWN, MO 63645

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Farmington Clinic Company LLC's NPI number?

The NPI number for Farmington Clinic Company LLC is 1063517613. It was assigned to this organization in the NPPES registry on September 14, 2006. The provider is doing business as Fredericktown Primary Care.

Where is Farmington Clinic Company LLC located?

Farmington Clinic Company LLC is located at 309 Garrett St, Fredericktown, MO 63645. The listed phone number is (573) 783-4683.

What is Farmington Clinic Company LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Farmington Clinic Company LLC was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.