ADVOCATES FOR A HEALTHY COMMUNITY INC (NPI# 1689045981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689045981 |
| Entity Type | Organization |
| Organization Name | ADVOCATES FOR A HEALTHY COMMUNITY INC |
| Other Organization Name | JORDAN VALLEY COMMUNITY HEALTH CENTER |
| Practice Address |
860 Lynn St Lebanon MO 65536-3810 |
| Mailing Address |
440 E Tampa St Springfield MO 65806-1131 |
| Practice Telephone | 4173348337 |
| Practice Fax Number | 4178689798 |
| Mailing Telephone | (417) 831-0150 |
| Mailing Fax Number | 4178688798 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2017-07-25 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1396273074 | Advocates for A Healthy Community Inc | Clinic/Center | 660 S Scenic Ave, Springfield, MO 65802-5072 | 2017-05-25 |
| 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 |
860 LYNN ST |
| City | LEBANON |
| State | MO |
| Zip Code | 65536-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568448470 | Catherine A Grigg | Psychologist | 860 Lynn St, Lebanon, MO 65536-3810 | 2005-12-22 |
| 1801496856 | Lauren Dailey Smalling | Social Worker | 860 Lynn St, Lebanon, MO 65536-3810 | 2020-10-29 |
| 1023657152 | Kristin M. Million | Counselor | 860 Lynn St, Lebanon, MO 65536-3810 | 2020-01-07 |
| 1497390959 | Cynthia Denise Parker | Counselor | 860 Lynn St, Lebanon, MO 65536-3810 | 2019-11-08 |
| 1023652500 | Melissa Lee Black | Counselor | 860 Lynn St, Lebanon, MO 65536-3810 | 2019-10-29 |
| 1235780099 | Jeanna Suzanne Hood | Registered Nurse | 860 Lynn St, Lebanon, MO 65536-3810 | 2019-09-24 |
| 1487136156 | Elizabeth Leuthold | Psychologist | 860 Lynn St, Lebanon, MO 65536-3810 | 2018-08-30 |
| 1245710045 | Derrick Leighton Carroll | Counselor | 860 Lynn St, Lebanon, MO 65536-3810 | 2018-08-21 |
| 1720566805 | Advocates for A Healthy Community, Inc. | Pharmacy | 860 Lynn St, Lebanon, MO 65536-3810 | 2018-08-01 |
| 1790272011 | Mary Kathryn Goslin | Counselor | 860 Lynn St, Lebanon, MO 65536-3810 | 2018-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537307 | Cathy Jane Greenlee | Nurse Practitioner | 510 Hwy 32, Lebanon, MO 65536 | 2018-08-10 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1447629399 | Danielle Craig | Speech-Language Pathologist | 1200 Clark Ave, Lebanon, MO 65536 | 2015-09-22 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1194163840 | Laura Patton | Speech-Language Pathologist | 22864 Perimeter Drive, Lebanon, MO 65536 | 2013-06-04 |
| 1750588273 | Elaine Britzman | Registered Nurse | 874 S Jefferson St, Lebanon, MO 65536 | 2007-06-28 |
| 1538363486 | Laclede Co. Assoc. for Retarded Citizens | Respite Care | 200 Lawson Ave., Lebanon, MO 65536 | 2007-06-13 |
| 1568665768 | Fern M Klein | Registered Nurse | 874 S Jefferson, Lebanon, MO 65536 | 2007-06-06 |
| 1639201080 | Laclede County Assoc. for Retarded Citizens | Day Training, Developmentally Disabled Services | 200 Lawson Avenue, Lebanon, MO 65536 | 2007-03-12 |
| 1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
| Find all providers in zip 65536 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1477101822 | Family First Health Corporation | Clinic/Center | 300 Willow St, Lebanon, PA 17046-4871 | 2019-08-29 |
| 1437718293 | Cumberland Family Medical Center, Inc. | Clinic/Center | 735 E Main St, Lebanon, KY 40033-1701 | 2019-06-06 |
| 1164081923 | Cumberland Family Medical Center, Inc. | Clinic/Center | 3345 Highway 208, Lebanon, KY 40033-9487 | 2019-06-06 |
| 1154980902 | Cumberland Family Medical Center, Inc. | Clinic/Center | 420 W Main St, Lebanon, KY 40033-1363 | 2019-06-06 |
| 1316506165 | Cumberland Family Medical Center, Inc. | Clinic/Center | 773 E Main St, Lebanon, KY 40033-1701 | 2019-06-06 |
| 1083273841 | Cumberland Family Medical Center, Inc. | Clinic/Center | 200 Corporate Dr, Lebanon, KY 40033-1708 | 2019-06-06 |
| 1851890107 | Aspire Indiana Health Inc | Clinic/Center | 1600 W Main St, Lebanon, IN 46052-2388 | 2018-02-01 |
| 1548637093 | United Neighborhood Health Services, Inc. | Clinic/Center | 217 E High St Ste 200, Lebanon, TN 37087 | 2015-08-31 |
| Find all providers in LEBANON | ||||
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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.