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 (CEO)
(417) 851-1551
Entity
Organization
Contact information
Practice address
2020 EVERGREEN PKWY, LEBANON, MO 65536-4611
(417) 334-8337
(417) 832-8275
Mailing address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 851-1551
(417) 832-8275
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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