MAPLE VALLEY PRIMARY CARE
NPI 1962501098
Family Medicine in Farmington, MO

Active since September 22, 2006
751 MAPLE VALLEY DR, FARMINGTON, MO 63640(573) 756-1800(573) 756-4476 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

About Maple Valley Primary Care NPPES

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

MAPLE VALLEY PRIMARY CARE (NPI 1962501098) is a healthcare organization registered as a family medicine in Farmington, Missouri and active in the NPI registry since September 2006. The organization lists Michael Portacci, President, as its authorized official.

NPPES Registry Identity

NPI1962501098
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFARMINGTON CLINIC COMPANY LLC
Location Address751 MAPLE VALLEY DRFarmington, MO 63640-1944
Mailing AddressPo Box 504354Saint Louis, MO 63150-0001 · (573) 756-1800 · Fax (573) 756-4476
Fax(573) 756-4476
Organization SubpartYes
Authorized OfficialMichael PortacciPresident · (615) 465-7029
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1962501098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
751 MAPLE VALLEY DR, Farmington, MO 63640

Other Names 1

Doing Business AsMaple Valley Primary Care

Other Identifiers 1

Other15056MO · Medicare Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Psychiatry & Neurology (Psychiatry)
751 MAPLE VALLEY DR, SUITE C
FARMINGTON, MO 63640

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 1962501098. It was assigned to this organization in the NPPES registry on September 22, 2006. The provider is doing business as Maple Valley Primary Care.

Where is Farmington Clinic Company LLC located?

Farmington Clinic Company LLC is located at 751 Maple Valley Dr, Farmington, MO 63640. The listed phone number is (573) 756-1800.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.