FORDLAND CLINIC, INC. (NPI# 1073637757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073637757 |
| Entity Type | Organization |
| Organization Name | FORDLAND CLINIC, INC. |
| Practice Address |
1059 Barton Dr Fordland MO 65652-7350 |
| Practice Telephone | 4177672273 |
| Practice Fax Number | 4177674054 |
| Mailing Telephone | 4177672273 |
| Mailing Fax Number | 4177674054 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT MARSH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4177672273 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MO | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639421365 | Fordland Clinic, Inc. | Clinic/Center | 11863 State Highway 13, Kimberling City, MO 65686 | 2012-10-04 |
| 1386299501 | Fordland Clinic, Inc. | Clinic/Center | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2019-08-05 |
| 1881607612 | Fordland Clinic, Inc. | Clinic/Center | 1059 Barton Dr, Fordland, MO 65652-7350 | 2006-08-14 |
| Street Address |
1059 BARTON DR |
| City | FORDLAND |
| State | MO |
| Zip Code | 65652-7350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679570287 | Robert Gordon Marsh | Nurse Practitioner | 1059 Barton Dr, Fordland, MO 65652-7350 | 2005-06-29 |
| 1811420888 | Michelle Young | Dental Hygienist | 1059 Barton Dr, Fordland, MO 65652-7350 | 2017-04-06 |
| 1891147104 | Debby Sue Carl | Nurse Practitioner | 1059 Barton Dr, Fordland, MO 65652-7350 | 2016-07-11 |
| 1154762649 | Lorena Leone | Dental Hygienist | 1059 Barton Dr, Fordland, MO 65652-7350 | 2013-07-11 |
| 1003254087 | Erin Elizabeth Duvall | Nurse Practitioner | 1059 Barton Dr, Fordland, MO 65652-7350 | 2013-06-12 |
| 1922356823 | Stephane Counts | Nurse Practitioner | 1059 Barton Dr, Fordland, MO 65652-7350 | 2012-08-27 |
| 1467731018 | Theresa Anne Griffith | Counselor | 1059 Barton Dr, Fordland, MO 65652-7350 | 2011-08-14 |
| 1295022341 | Robert Daniel Dunavant | Dentist | 1059 Barton Dr, Fordland, MO 65652-7350 | 2011-07-08 |
| 1164718227 | Tina Nichole Drozdowski | Dental Hygienist | 1059 Barton Dr, Fordland, MO 65652-7350 | 2011-06-27 |
| 1003930207 | Erin K Rickman | Dental Hygienist | 1059 Barton Dr, Fordland, MO 65652-7350 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437708351 | Sherry Kensinger | Technician | 133 Meadowbrook Ln, Fordland, MO 65652-7204 | 2019-09-04 |
| 1588904247 | Joseph Byers | Family Medicine | 3181 Green Hill Rd, Fordland, MO 65652-7283 | 2013-02-18 |
| 1275793002 | Dave Gooden | Social Worker | 1194 Green Hill Rd, Fordland, MO 65652-8253 | 2008-06-16 |
| 1093235640 | Brewer Counseling, LLC | Interpreter | 317 Sparrowhawk Rd, Fordland, MO 65652-8382 | 2017-06-25 |
| 1346380326 | Fordland R-3 School Dist | Physical Therapist | 1230 School St, Fordland, MO 65652-9208 | 2007-02-07 |
| 1740828102 | Regional Services | Nurse Practitioner | 1230 School St, Fordland, MO 65652-9208 | 2019-12-17 |
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145668 | Essential Benefit Offerings, LLC | Clinic/Center | 1417 N Mount Auburn Rd Ste A2, Cape Girardeau, MO 63701-2171 | 2020-05-07 |
| 1114483468 | Your Optimal Healthcare LLC | Clinic/Center | 300 W 4th St Ste H, Eureka, MO 63025-1839 | 2019-02-12 |
| 1306313051 | Country Care Family Clinic, LLC | Clinic/Center | 3 E Cleveland Ave, Ellsinore, MO 63937 | 2018-10-31 |
| 1285118950 | Vera Whole Health, Wa PC | Clinic/Center | 8350 N. Church Road, Kansas City, MO 64158 | 2018-09-19 |
| 1003324542 | Quad/med, LLC | Clinic/Center | 2015 Ne Jefferson Street, Grain Valley, MO 64029 | 2018-01-18 |
| 1093267601 | Careatc-saint Peter | Clinic/Center | 4601 Executive Centre Pkwy, Saint Peters, MO 63376-1683 | 2016-10-30 |
| 1407303480 | Kerns Family Health Care LLC | Clinic/Center | 1335 Vilage Dr B, St. Joseph, MO 64506-2457 | 2016-09-07 |
| 1316491020 | Wecare Tlc - Wwt Mo Family Health Center | Clinic/Center | 58 Weldon Pkwy, Bldg 58, Maryland Heights, MO 63043-3237 | 2016-08-10 |
| 1255703500 | Community Hospital Association | Clinic/Center | 101 South Washington Street, Oregon, MO 64473 | 2015-10-27 |
| 1023485752 | Dennis E. Robinson D.o. | Clinic/Center | 487 Pomme De Terre Dr., Marshfield, MO 65706 | 2015-08-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FORDLAND CLINIC, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.