Fordland Clinic, Inc.
NPI 1639421365 · Federally Qualified Health Center (FQHC) · Kimberling City, MO
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fordland Clinic, Inc. is a Federally Qualified Health Center (FQHC) organization in Kimberling City, MO (NPI 1639421365).
Provider details
- NPI number
- 1639421365
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Fordland Clinic, Inc.
- Organization subpart
- Yes
- Authorized official
- Teri Simmons, Billing/Credentialing Manager(417) 767-2273
- License
- 26-1102 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Tri-Lakes Community Health Center
- Former legal business name
- Tri-Lakes Community Health Center
Registry dates
- Enumerated
- 2012-10-04
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Frequently asked questions
- What is Fordland Clinic, Inc.'s NPI number?
- Fordland Clinic, Inc.'s National Provider Identifier (NPI) is 1639421365, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fordland Clinic, Inc.?
- Fordland Clinic, Inc. is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Fordland Clinic, Inc. located?
- Fordland Clinic, Inc.'s practice location on file with NPPES is 11863 State Highway 13, Kimberling City, MO 65686.
- What is Fordland Clinic, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Fordland Clinic, Inc. is (417) 739-1995.
- Does Fordland Clinic, Inc. accept Medicare?
- Fordland Clinic, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fordland Clinic, Inc.?
- The authorized official listed on Fordland Clinic, Inc.'s NPPES record is Teri Simmons, Billing/Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fordland Clinic, Inc.'s NPI active?
- Yes — Fordland Clinic, Inc.'s NPI (1639421365) is active in the NPPES registry as of the last update on 2026-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.