Organization
ADVOCATES FOR A HEALTHY COMMUNITY, INC
Active
Other names
Jordan Valley Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW STINSON (CEO)
(417) 831-0150
Entity
Organization
Contact information
Practice address
15479 US HIGHWAY 160, FORSYTH, MO 65653-8150
(417) 831-0150
(417) 868-8798
Mailing address
15479 US HIGHWAY 160, FORSYTH, MO 65653-8150
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MO
Enumeration date
09/30/2014
Last updated
07/30/2024
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