Jordan Valley Community Health Center Pharmacy #2
LBN: Advocates For A Healthy Community
Jordan Valley Community Health Center Pharmacy #2 is an health care organization with primary practice located at 440 E Tampa St , Springfield MO 65806-1131. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Advocates For A Healthy Community can be contacted via phone (417) 831-0150, or through Schryack, Ruth via phone (417) 831-0150.
Contact Information
Primary practice address
440 E Tampa St
Springfield MO 65806-1131
Phone: (417) 831-0150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2009017150 | Missouri |
Profile Details
| NPI number | 1033347828 |
|---|---|
| LBN Legal business name | Advocates For A Healthy Community |
| DBA Doing business as | Jordan Valley Community Health Center Pharmacy #2 |
| Authorized official | Schryack, Ruth |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 30th, 2009 |
| Last updated | Jun 30th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033347828 | NPPES |
| Other | 2638647 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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