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
33 GAGE DR, HOLLISTER, MO 65672-5862
(417) 334-8300
Mailing address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 851-1551
(417) 868-8798
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/09/2013
Last updated
12/02/2021
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