ADVOCATES FOR A HEALTHY COMMUNITY INC. NPI 1407954407

NPI Information

ADVOCATES FOR A HEALTHY COMMUNITY, INC. is a federally qualified health center (fqhc) clinic center in Springfield, MO. ADVOCATES FOR A HEALTHY COMMUNITY, INC. NPI is 1407954407. The provider is registered as an organization entity type.
The provider Is Doing Business As Jordan Valley Community Health Center.

The provider's business location address is:

618 N BENTON AVE
SPRINGFIELD, MO
ZIP 65806-102
Phone: (417) 831-0150
Fax: (417) 831-0155

The provider's authorized official is Kenneth Brooks Miller .
The authorized official title is Executive Director and has the following contact phone number (417) 831-0150.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 12/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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