Jordan Valley Community Health Center
LBN: Advocates For A Healthy Community, Inc
Jordan Valley Community Health Center is an health care organization with primary practice located at 15479 Us Highway 160 , Forsyth MO 65653-8150. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Advocates For A Healthy Community, Inc can be contacted via phone (417) 831-0150, or through Miller, Kennth Brooks via phone (417) 851-1551.
Contact Information
Primary practice address
15479 Us Highway 160
Forsyth MO 65653-8150
Phone: (417) 831-0150
Fax: (417) 868-8798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1033512454 |
|---|---|
| LBN Legal business name | Advocates For A Healthy Community, Inc |
| DBA Doing business as | Jordan Valley Community Health Center |
| Authorized official | Miller, Kennth Brooks |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 30th, 2014 |
| Last updated | Feb 7th, 2020 - about 4 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 | 1033512454 | NPPES |
| Missouri | MEDICAID | PENDING |
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