Jordan Valley Community Health Center-Pharmacy
LBN: Advocates For A Healthy Community, Inc
Jordan Valley Community Health Center-Pharmacy is an health care organization with primary practice located at 860 Lynn St , Lebanon MO 65536-3832. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Suppliers / Clinic Pharmacy. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is 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
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X |
Profile Details
| NPI number | 1477657658 |
|---|---|
| LBN Legal business name | Advocates For A Healthy Community, Inc |
| DBA Doing business as | Jordan Valley Community Health Center-Pharmacy |
| Authorized official | Miller, Kenneth Brooks |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477657658 | NPPES |
| Missouri | MEDICAID | PENDING |
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