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 618 N Benton Ave , Springfield MO 65806-1102. 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, Kenneth Brooks via phone (417) 831-0150.

Contact Information

Primary practice address
618 N Benton Ave Springfield MO 65806-1102
Fax: (417) 831-0155
Website:
Authorized official contact:
Name: Miller, Kenneth Brooks

Health care specialties

Profile Details

NPI number 1407954407
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 Sep 21st, 2006
Last updated Dec 2nd, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407954407 NPPES
Missouri MEDICAID 400382800
Missouri MEDICAID 500382809

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