Organization
FORDLAND CLINIC, INC.
Active
Parent organization
FORDLAND CLINIC, INC.
Other names
Tri-Lakes Community Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORDLAND CLINIC, INC.
Authorized official
ROBERT MARSH FNP (EXECUTIVE DIRECTOR)
(417) 767-2273
Entity
Organization
Contact information
Practice address
11863 STATE HIGHWAY 13, KIMBERLING CITY, MO 65686
(417) 739-1995
Mailing address
1059 BARTON DR, FORDLAND, MO 65652-7350
(417) 767-2273
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
26-1102
MO
Other
Enumeration date
10/04/2012
Last updated
02/01/2016
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