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Organization
ADVOCATES FOR A HEALTHY COMMUNITY, INC
Active
Organization
ADVOCATES FOR A HEALTHY COMMUNITY, INC
Active
Other names
Jordan Valley Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BROOKS MILLER JR. CEO (EXECUTIVE DIRECTOR)
(417) 831-0150
Entity
Organization
Contact information
Practice address
1166 BANNING ST, MARSHFIELD, MO 65706-1015
(417) 859-2400
(417) 831-0155
Mailing address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 831-0150
(417) 831-0155
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
Other
Enumeration date
01/24/2008
Last updated
12/02/2021
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