ADVOCATES FOR A HEALTHY COMMUNITY INC (NPI# 1396273074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396273074 |
| Entity Type | Organization |
| Organization Name | ADVOCATES FOR A HEALTHY COMMUNITY INC |
| Other Organization Name | JORDAN VALLEY COMMUNITY HEALTH CENTER |
| Practice Address |
660 S Scenic Ave Springfield MO 65802-5072 |
| Mailing Address |
Po Box 5681 Springfield MO 65801-5681 |
| Practice Telephone | 4178511558 |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2017-05-25 |
| Authorized Official Name | MR. KENNETH BROOKS MILLER (PRESIDENT/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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | PENDING | 05 |
| Other Name | Type Code |
|---|---|
| Jordan Valley Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407490741 | Advocates for A Healthy Community Inc | Clinic/Center | 2238 W Kingsley St, Springfield, MO 65807-5456 | 2019-10-30 |
| 1184169476 | Advocates for A Healthy Community Inc | Clinic/Center | 660 S Scenic Ave, Springfield, MO 65802-5072 | 2016-12-22 |
| 1346783222 | Advocates for A Healthy Community Inc | Clinic/Center | 1794 State Highway Bb, Hollister, MO 65672-5423 | 2016-11-28 |
| 1952410995 | Advocates for A Healthy Community Inc | Clinic/Center | 1443 N Robberson, Suite #505, Springfield, MO 65802-1964 | 2006-08-30 |
| 1689045981 | Advocates for A Healthy Community Inc | Clinic/Center | 860 Lynn St, Lebanon, MO 65536-3810 | 2015-10-13 |
| 1164657318 | Advocates for A Healthy Community Inc | Clinic/Center | 440 E Tampa St, Springfield, MO 65806-1131 | 2009-05-18 |
| 1356519524 | Advocates for A Healthy Community Inc | Clinic/Center | 1166 Banning St, Marshfield, MO 65706-1015 | 2008-02-11 |
| 1356424352 | Advocates for A Healthy Community Inc | Clinic/Center | 860 Lynn St, Lebanon, MO 65536-3810 | 2006-10-23 |
| 1477657658 | Advocates for A Healthy Community Inc | Pharmacy | 860 Lynn St, Lebanon, MO 65536-3832 | 2006-09-11 |
| 1558303057 | Advocates for A Healthy Community Inc | Clinic/Center | 440 E Tampa St, Springfield, MO 65806-1131 | 2006-06-11 |
| Street Address |
660 S SCENIC AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65802-5072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184169476 | Advocates for A Healthy Community Inc | Clinic/Center | 660 S Scenic Ave, Springfield, MO 65802-5072 | 2016-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454549 | Andrea Strauch | Counselor | 2024 W Chestnut Expressway Way, Springfield, MO 65802 | 2020-10-12 |
| 1962968867 | Chad Michael Linck | Specialist/Technologist | 2125 N Glenstone Ave, Springfield, MO 65802 | 2019-02-15 |
| 1790254647 | Meds To Live By | Pharmacist | 1134 N. Scarlett Way, Springfield, MO 65802 | 2018-11-21 |
| 1568945103 | Ficom | Non-Pharmacy Dispensing Site | 1308 North Glenstone Avenue, Springfield, MO 65802 | 2018-09-10 |
| 1982194775 | Karla Caballero | Marriage & Family Therapist | 8627 Montant Fort Way, 145, Sprinfield, MO 65802 | 2018-05-16 |
| 1780191809 | Tiffany Chawntay Coryell | Pharmacist | 1134 North Scarlett Way, Springfield, MO 65802 | 2018-01-10 |
| 1083134902 | Trevor Conner | Family Medicine | 1423 N Jefferson Ave, B100, Springfield, MO 65802 | 2017-06-21 |
| 1407389596 | Medical Mile Imaging | Radiology | 3905 E Windsmore Dr, Springfield, MO 65802 | 2017-04-06 |
| 1346619103 | Jill A Knight | Occupational Therapist | 1601 E. Pythian, Green Valley State School, Springfield, MO 65802 | 2015-09-22 |
| 1447653258 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3720 E Sunshine St, Springfield, MO 65802 | 2014-10-07 |
| Find all providers in zip 65802 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1053958439 | Cumberland Family Medical Center, Inc. | Clinic/Center | 601 Lincoln Park Rd, Springfield, KY 40069-1501 | 2019-12-05 |
| 1144867524 | Cumberland Family Medical Center, Inc. | Clinic/Center | 300 W Us Hwy 150 Bypass, Springfield, KY 40069-8460 | 2019-12-05 |
| 1275170680 | Cumberland Family Medical Center, Inc | Clinic/Center | 603 Lincoln Park Rd, Springfield, KY 40069-1501 | 2019-12-04 |
| 1407490741 | Advocates for A Healthy Community Inc | Clinic/Center | 2238 W Kingsley St, Springfield, MO 65807-5456 | 2019-10-30 |
| 1558848473 | Board of Trustees of Southern Illinois University | Clinic/Center | 2833 S Grand Ave E Ste 100, Springfield, IL 62703-2175 | 2018-07-24 |
| 1447768569 | Springfield Medical Care Systems Inc | Clinic/Center | 43 Union St, Springfield, VT 05156-3133 | 2018-01-11 |
| 1457869570 | Springfield Medical Care Systems Inc | Clinic/Center | 10 Hoover St, Springfield, VT 05156-2425 | 2018-01-11 |
| 1356859474 | Springfield Medical Care Systems Inc | Clinic/Center | 303 South St, Springfield, VT 05156-3226 | 2018-01-11 |
| 1508373655 | Springfield Medical Care Systems Inc | Clinic/Center | 13 Fairground Rd, Springfield, VT 05156-2112 | 2018-01-10 |
| 1861911893 | Central Counties Health Centers, Inc. | Clinic/Center | 5220 6th Street Frontage Rd E Ste 2400, Springfield, IL 62703-5761 | 2017-09-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65802 |
Please comment or provide details below to improve the information on ADVOCATES FOR A HEALTHY COMMUNITY INC.
| 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.