ADVOCATES FOR A HEALTHY COMMUNITY, INC (NPI# 1073939849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073939849 |
| Entity Type | Organization |
| Organization Name | ADVOCATES FOR A HEALTHY COMMUNITY, INC |
| Other Organization Name | JORDAN VALLEY COMMUNITY HEALTH CENTER |
| Practice Address |
550 E Harrison St Republic MO 65738-1353 |
| Practice Telephone | 4178511565 |
| Mailing Telephone | 4178511565 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2018-11-02 |
| Authorized Official Name | KENNETH BROOKS MILLER JR. (CEO) |
| Authorized Official Telephone | 4178511551 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Jordan Valley Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033512454 | Advocates for A Healthy Community, Inc | Clinic/Center | 15479 Us Highway 160, Forsyth, MO 65653-8150 | 2014-09-30 |
| 1093848913 | Advocates for A Healthy Community, Inc | Clinic/Center | 323 E Grand St, Springfield, MO 65807-1447 | 2007-03-13 |
| Street Address |
550 E HARRISON ST |
| City | REPUBLIC |
| State | MO |
| Zip Code | 65738-1353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457778094 | Advocates for A Healthy Community | Clinic/Center | 550 E Harrison St, Republic, MO 65738-1353 | 2014-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215585922 | Lawana Kay Patterson | Technician | 1702 East New Madrid, Republic, MO 65738 | 2019-08-27 |
| 1497219059 | Samantha J Steed | Chiropractor | 530 E Hadley St, Republic, MO 65738 | 2019-01-29 |
| 1962643338 | Dave Bremer | Physical Therapist | 5030 S Westwood Dr, Republic, MO 65738 | 2009-03-16 |
| 1689704918 | Kevin Edward Medlin | Dentist | 834 S Illinois Ave, Republic, MO 65738 | 2007-03-06 |
| 1437284023 | Teresa Ann Davidson | Occupational Therapist | 1983 S Fr 69, Republic, MO 65738 | 2007-02-22 |
| 1144303363 | Marcia L Preston | Dentist | 604 East Elm, Republic, MO 65738 | 2006-10-23 |
| 1801908355 | David Kent Budd | Dentist | 1093 Us Highway 60 E, Republic, MO 65738 | 2006-08-31 |
| 1124011630 | Jonathan K Armstrong | Chiropractor | 851 S Colorado, Republic, MO 65738 | 2005-08-30 |
| 1861970816 | Matthew Charles Mcnitt | Pharmacist | 1173 E Hines St, Republic, MO 65738 | 2018-08-01 |
| 1194237826 | Alexandria Paige Holmes | Optometrist | 612 E Elm St, Republic, MO 65738 | 2017-11-03 |
| Find all providers in zip 65738 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043430267 | Centerville Clinics, Inc. | Clinic/Center | 1006 Main Street, Republic, PA 15475 | 2007-04-27 |
| 1457778094 | Advocates for A Healthy Community | Clinic/Center | 550 E Harrison St, Republic, MO 65738-1353 | 2014-03-20 |
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| 1750912044 | Northwest Health Services, Inc. | Clinic/Center | 418 E 2nd St, Maryville, MO 64468-1703 | 2020-01-27 |
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| 1063052553 | Compass Health, Inc. | Clinic/Center | 1319 E Highway 24 Ste B, Moberly, MO 65270-3682 | 2020-01-13 |
| 1407490741 | Advocates for A Healthy Community Inc | Clinic/Center | 2238 W Kingsley St, Springfield, MO 65807-5456 | 2019-10-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.