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 MD (CEO)
(417) 851-1551
Entity
Organization
Contact information
Practice address
1720 W GRAND ST, SPRINGFIELD, MO 65802-4802
(417) 831-0150
Mailing address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 831-0150
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
07/30/2024
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