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NPI Code Detail

MEDICARE: FARMINGTON OPERATIONS, LLC

MEDICARE: FARMINGTON OPERATIONS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility1975ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881756120
Entity Type Code : Organization
Provider Name (Legal Business Name) : FARMINGTON OPERATIONS, LLC
Provider Business Mailing Address
First Line : 101 E STATE ST
Second Line :
City : KENNETT SQUARE
State : PA
Zip : 19348-3109
Country : US
Telephone Number : 610-925-4436
Fax Number : 610-612-5327
Provider Business Practice Location Address
First Line : 119 LIVERMORE FALLS RD
Second Line :
City : FARMINGTON
State : ME
Zip : 04938-6241
Country : US
Telephone Number : 207-778-6591
Fax Number :
Authorized Official
Title or Position : ASSISTANT SECRETARY
Name : MICHAEL T BERG
Credential :
Telephone Number : 505-468-4742
Provider Enumeration Date : 12/14/2006
Last Update Date : 06/23/2025

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Directions to “FARMINGTON OPERATIONS, LLC ” Practice Location

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