NPIMap

Fordland Clinic, Inc.

A Medicare group practice based in Fordland, MO: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 5597794552), with 18 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5597794552The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
MO
Enrollments
4
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 3 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20151014001752 MO Part A Provider - Federally Qualified Health Center (FQHC) 1639421365
O20050913000367 MO Part B Supplier - Clinic/Group Practice 1881607612
O20070503000682 MO Part A Provider - Federally Qualified Health Center (FQHC) 1881607612
O20190812001523 MO Part A Provider - Federally Qualified Health Center (FQHC) 1386299501

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 18

Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (10).

Sources for this page