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 B via phone (417) 831-0150.
Contact Information
Primary practice address
618 N Benton Ave
Springfield MO 65806-1102
Phone: (417) 831-0150
Fax: (417) 831-0155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1861590861 |
|---|---|
| LBN Legal business name | Advocates For A Healthy Community, Inc. |
| DBA Doing business as | Jordan Valley Community Health Center |
| Authorized official | Miller, Kenneth B CEO |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861590861 | NPPES |
| Missouri | Other | 26D1013631 | CLIA |
| Missouri | MEDICAID | 506226703 | CLIA |
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