Organization · NPI-2

Farmington Emergency Group LLC

Emergency Medicine · Farmington, MO

NPI number1992906341

StatusActive

Last updated in NPPESJan 14, 2016

Details

NPI: 1992906341
Entity type: Organization (NPI-2)
Legal business name: Farmington Emergency Group LLC
Organization subpart: No
Enumeration date: May 31, 2007
Last updated: Jan 14, 2016

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207P00000X	Emergency Medicine	–	–	Yes
363AM0700X	Physician Assistant, Medical	–	–
363L00000X	Nurse Practitioner	–	–

Practice location

1212 Weber Road
Farmington, MO 63640-3309

Phone 573-756-4581

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870

Phone 800-893-9698

Authorized official

Lisha C Falk
Vp Of Contracting
8008939698

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