1. Home
  2. Directory
  3. Missouri
  4. Fordland
  5. Clinic Center
  6. NPI Profile

FORDLAND CLINIC, INC.
NPI 1073637757
Clinic/Center - Primary Care in Fordland, MO

Active since March 19, 2007CLIA Certified · 3 labs
1059 BARTON DR, FORDLAND, MO 65652(417) 767-2273(417) 767-4054 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 26, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Fordland Clinic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORDLAND CLINIC, INC. (NPI 1073637757) is a healthcare organization registered as a primary care in Fordland, Missouri and active in the NPI registry since March 2007. The organization holds 3 active CLIA laboratory certificates and lists Teri Simmons, Billing/credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1073637757
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFORDLAND CLINIC, INC.
Location Address1059 BARTON DRFordland, MO 65652-7350
Mailing Address1059 Barton DrFordland, MO 65652-7350 · (417) 767-2273 · Fax (417) 767-4054
Phone(417) 767-2273
Fax(417) 767-4054
Organization SubpartNo
Authorized OfficialTeri SimmonsBilling/credentialing Manager · (417) 767-2273
Enumeration DateMarch 19, 2007
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1073637757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MO · 26D0916330
1059 BARTON DR, Fordland, MO 65652
Open in Google Maps ↗

Other Identifiers 1

Medicaid501032106MO

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0916330

Fordland Clinic · Fordland, MO
Active · expires Dec 31, 2027
CLIA Number26D0916330
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorAngela Clay
Laboratory Phone(417) 767-2273
Laboratory LocationFordland Clinic1059 Barton Dr, Fordland, MO 65652
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2337777

Fordland Clinic Kimberling City · Kimberling City, MO
Active · expires Jan 28, 2028
CLIA Number26D2337777
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorAngela Clay
Laboratory Phone(417) 767-2273
Laboratory LocationFordland Clinic Kimberling City11863 Mo-13, Kimberling City, MO 65686
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2337782

Fordland Clinic Burrell Location · Springfield, MO
Active · expires Jan 28, 2028
CLIA Number26D2337782
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorAngela Clay
Laboratory Phone(417) 767-2273
Laboratory LocationFordland Clinic Burrell Location1300 E Bradford Parkway, Building A, Springfield, MO 65804
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN K RICKMAN R.D.H.
Dental Hygienist
1059 BARTON DR
FORDLAND, MO 65652
Webster County (417) 767-2273
LORETTA BAKER-MONTGOMERY LCSW
Social Worker (Clinical)
1059 BARTON DR
FORDLAND, MO 65652
Webster County (417) 767-2273
EVAN ROWLAND DDS
Dentist
1059 BARTON DR
FORDLAND, MO 65652
Webster County (417) 767-2273
MRS. LORENA LEONE RDH
Dental Hygienist
1059 BARTON DR
FORDLAND, MO 65652
Webster County (417) 767-2100
TINA NICHOLE DROZDOWSKI RDH
Dental Hygienist
1059 BARTON DR
FORDLAND, MO 65652
Webster County (417) 767-2100
DR. TAYLOR RUSSEL SHORT DDS
Dentist
1059 BARTON DR
FORDLAND, MO 65652
Webster County (417) 767-2273
LYDIA THOMPSON RDH
Dental Hygienist
1059 BARTON DR
FORDLAND, MO 65652
Webster County (417) 767-2273
KAYLA CUMMINGS RN
Registered Nurse
1059 BARTON DR
FORDLAND, MO 65652
Webster County (417) 767-2273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fordland Clinic, Inc.'s NPI number?

The NPI number for Fordland Clinic, Inc. is 1073637757. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is Fordland Clinic, Inc. located?

Fordland Clinic, Inc. is located at 1059 Barton Dr, Fordland, MO 65652. The listed phone number is (417) 767-2273.

What is Fordland Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Fordland Clinic, Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Fordland Clinic, Inc. was last updated on May 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.