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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
26-1009
MO
261QR1300X
Rural Health Clinic/Center
263865
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508519105
—
MO
Enumeration date
08/14/2006
Last updated
05/26/2026
Update your record
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