Organization
FORDLAND CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERI SIMMONS (BILLING/CREDENTIALING MANAGER)
(417) 767-2273
Entity
Organization
Contact information
Practice address
1059 BARTON DR, FORDLAND, MO 65652-7350
(417) 767-2273
(417) 767-4054
Mailing address
1059 BARTON DR, FORDLAND, MO 65652-7350
(417) 767-2273
(417) 767-4054
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
26D0916330
MO
261QP2300X
Primary Care Clinic/Center
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501032106
—
MO
Enumeration date
03/19/2007
Last updated
05/26/2026
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