Farmington Clinic Company LLC
NPI 1063517613 · Family Medicine Physician · Fredericktown, MO
Farmington Clinic Company LLC is a Family Medicine Physician organization in Fredericktown, MO (NPI 1063517613).
Provider details
- NPI number
- 1063517613
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Farmington Clinic Company LLC
- Organization subpart
- Yes
- Authorized official
- Michael Portacci, President(615) 465-7029
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Fredericktown Primary Care
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2022-07-21
Frequently asked questions
- What is Farmington Clinic Company LLC's NPI number?
- Farmington Clinic Company LLC's National Provider Identifier (NPI) is 1063517613, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Farmington Clinic Company LLC?
- Farmington Clinic Company LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Farmington Clinic Company LLC located?
- Farmington Clinic Company LLC's practice location on file with NPPES is 309 Garrett St, Fredericktown, MO 63645-1084.
- What is Farmington Clinic Company LLC's phone number?
- The practice phone number listed in the NPPES registry for Farmington Clinic Company LLC is (573) 783-4683.
- Who is the authorized official for Farmington Clinic Company LLC?
- The authorized official listed on Farmington Clinic Company LLC's NPPES record is Michael Portacci, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Farmington Clinic Company LLC's NPI active?
- Yes — Farmington Clinic Company LLC's NPI (1063517613) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.