Fordland Clinic, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

26D0916330 Issued in MO

Legal business name

FORDLAND CLINIC, INC.

Practice address

1059 Barton Dr
Fordland, MO 65652-7350

Phone

(417) 767-2273

Fax

(417) 767-4054

NPI assigned

Mar 19, 2007

Last updated

May 26, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Teri Simmons

Title

Billing/Credentialing Manager

Phone

(417) 767-2273

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Fordland Clinic Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Fordland Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Springfield, MO
  • NPI 1386299501
  NPD tax ID
• Fordland Clinic, Inc.

  dba Tri-Lakes Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Kimberling City, MO
  • NPI 1639421365
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1073637757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 BARTON DR",
            "city": "FORDLAND",
            "state": "MO",
            "postal_code": "656527350",
            "telephone_number": "417-767-2273",
            "fax_number": "417-767-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 BARTON DR",
            "city": "FORDLAND",
            "state": "MO",
            "postal_code": "656527350",
            "telephone_number": "417-767-2273",
            "fax_number": "417-767-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORDLAND CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "417-767-2273"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "26D0916330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501032106",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Coleen Moore Clay, D.O.
• Kayla Cummings, RN
• Tina Nichole Drozdowski, RDH
• Robert Daniel Dunavant, DDS
• Ronica Jean Duncan, MSW, LCSW
• Fordland Clinic, Inc.
• Fordland R-3 School Dist
• Dave Gooden, MSW LCSW
• Theresa Anne Griffith, LPC
• Sarah Marie Jones

• Primary Care Clinic/Center in Fordland, MO
• Providers in Fordland, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.