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 649 E Elm St , Republic MO 65738-1505. 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) 851-1551, or through Miller, Kenneth Brooks via phone (417) 851-1551.

Contact Information

Primary practice address
649 E Elm St Republic MO 65738-1505
Phone: (417) 851-1551
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, Kenneth Brooks
Phone: (417) 851-1551

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1073939849
LBN Legal business name Advocates For A Healthy Community, Inc
DBA Doing business as Jordan Valley Community Health Center
Authorized official Miller, Kenneth Brooks
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2014
Last updated May 18th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073939849 NPPES
Missouri MEDICAID 500015253

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