Farmington Clinic Company LLC
NPI 1063517613ActiveOrganization· Family Medicine· Fredericktown, MO
Family Medicine in Fredericktown, Missouri, registered in NPPES in September 2006, part of Farmington Clinic Company LLC. The authorized official on file is Michael Portacci, President.
Overview
| NPI | 1063517613 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Farmington Clinic Company LLC |
| NPI issued | Sep 14, 2006 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | MO |
| Clinic/Center, Rural Health | 261QR1300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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