| Fordland Clinic, Inc. | |
|
1059 Barton Dr Fordland MO 65652-7350 | |
| (417) 767-2273 | |
| (417) 767-4054 |
| Full Name | Fordland Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1059 Barton Dr, Fordland, Missouri |
| Authorized Official Name and Position | Robert Marsh (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4177672273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fordland Clinic, Inc. 1059 Barton Dr Fordland MO 65652-7350 Ph: (417) 767-2273 | Fordland Clinic, Inc. 1059 Barton Dr Fordland MO 65652-7350 Ph: (417) 767-2273 |
| NPI Number | 1073637757 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073637757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Missouri) | Primary |
Fordland Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1059 Barton Dr, Fordland, MO 65652 Phone: 417-767-2273 Fax: 417-767-4054 |