Organization
ADVOCATES FOR A HEALTHY COMMUNITY
Active
Other names
Jordan Valley Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY WHITTAKER (CREDENTIALING SPECIALIST)
(417) 851-1551
Entity
Organization
Contact information
Practice address
15479 US HIGHWAY 160, FORSYTH, MO 65653
(417) 831-0150
Mailing address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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