ADVOCATES FOR A HEALTHY COMMUNITY (NPI# 1922439405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922439405 |
Entity Type | Organization |
Organization Name | ADVOCATES FOR A HEALTHY COMMUNITY |
Other Organization Name | JORDAN VALLEY COMMUNITY HEALTH CENTER |
Practice Address |
33 Gage Dr Hollister MO 65672-5862 |
Mailing Address |
Po Box 5681 Springfield MO 65801-5681 |
Practice Telephone | 4173348300 |
Mailing Telephone | (417) 831-0150 |
Mailing Fax Number | 4178688798 |
Enumeration Date | 2013-12-09 |
Last Update Date | 2017-07-25 |
Authorized Official Name | KENNETH BROOKS MILLER (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 |
---|---|---|---|---|
1437336195 | Advocates for A Healthy Community | Clinic/Center | 1166 Banning St, Marshfield, MO 65706-1015 | 2008-01-24 |
1609413947 | Advocates for A Healthy Community | Clinic/Center | 15479 Us Highway 160, Forsyth, MO 65653 | 2019-12-05 |
1811532021 | Advocates for A Healthy Community | Clinic/Center | 2238 W Kingsley St, Springfield, MO 65807-5456 | 2019-11-12 |
1457778094 | Advocates for A Healthy Community | Clinic/Center | 550 E Harrison St, Republic, MO 65738-1353 | 2014-03-20 |
1417388067 | Advocates for A Healthy Community | Clinic/Center | 33 Gage Dr, Hollister, MO 65672-5862 | 2013-12-09 |
1033347828 | Advocates for A Healthy Community | Pharmacy | 440 E Tampa St, Springfield, MO 65806-1131 | 2009-06-30 |
Street Address |
33 GAGE DR |
City | HOLLISTER |
State | MO |
Zip Code | 65672-5862 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609874262 | Elizabeth N. Stobbe | Internal Medicine | 33 Gage Dr, Jordan Valley Community Health Center, Hollister, MO 65672-5862 | 2005-07-08 |
1740841907 | Mary Margaret Pearman | Dentist | 33 Gage Dr, Hollister, MO 65672-5862 | 2019-06-27 |
1669855912 | Melody Mcguire | Nurse Practitioner | 33 Gage Dr, Hollister, MO 65672-5862 | 2015-07-06 |
1417388067 | Advocates for A Healthy Community | Clinic/Center | 33 Gage Dr, Hollister, MO 65672-5862 | 2013-12-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760992994 | Lajan Kayle Taylor | Speech-Language Pathologist | 11103 Historic Hwy. 165, Hollister, MO 65672 | 2017-10-02 |
1417094087 | Canote Pharmacy, Inc | Pharmacy | 215 Gage Drive, Suite L, Hollister, MO 65672 | 2007-01-31 |
1538247887 | Skaggs Community Hospital Association | Pediatrics | 590 Birch Street, Ste 2c, Hollister, MO 65672 | 2006-11-02 |
1396797585 | Christopher S Fletcher | Family Medicine | 10994 Historic Hwy 165, Hollister, MO 65672 | 2006-05-16 |
1366443962 | Johnny Lee Gillispie | Internal Medicine | 590 Birch Rd, Ste 1b, Hollister, MO 65672 | 2005-08-03 |
1154508752 | Woman's Clinic of Branson, LLC | Obstetrics & Gynecology | 590 Birch Rd, Suite 2-b, Hollister, MO 65672 | 2008-01-25 |
1164561148 | Canote Pharmacy, Inc | Pharmacy | 215 Gage Drive, Suite K, Hollister, MO 65672 | 2007-02-06 |
1316373145 | Toni D Mcclure | Social Worker | 115 Deep Forrest, Hollister, MO 65672-4104 | 2013-09-25 |
1548365448 | R Randall Sukman | Internal Medicine | 2331 S Business Highway 65, Hollister, MO 65672-5105 | 2006-09-14 |
1629230826 | Lionheart Holdings, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2331 S Business Highway 65, Hollister, MO 65672-5105 | 2008-06-28 |
Find all providers in zip 65672 |
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 |
---|---|---|---|---|
1346783222 | Advocates for A Healthy Community Inc | Clinic/Center | 1794 State Highway Bb, Hollister, MO 65672-5423 | 2016-11-28 |
1417388067 | Advocates for A Healthy Community | Clinic/Center | 33 Gage Dr, Hollister, MO 65672-5862 | 2013-12-09 |
1902995145 | Rural Health Group Inc | Clinic/Center | 204 Evans Road, Hollister, NC 27844-0010 | 2006-10-12 |
1487606893 | Twin County Rural Health Center, Inc. | Clinic/Center | 204 Evans Road, Hollister, NC 27844 | 2006-05-16 |
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1952909079 | Northwest Health Services Inc | Clinic/Center | 202 S East St, Albany, MO 64402-1836 | 2020-10-12 |
1912505041 | Northwest Health Services Inc | Clinic/Center | 10500 State Route T, Savannah, MO 64485-2456 | 2020-10-12 |
1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
1407478399 | Big Springs Medical Association | Clinic/Center | 2879 James Blvd, Poplar Bluff, MO 63901-3395 | 2020-05-13 |
1295356731 | Health Care Coalition of Lafayette County | Clinic/Center | 811 S Business Highway 13, Lexington, MO 64067-1515 | 2020-05-06 |
1376164699 | East Central Missouri Behavioral Health Services, Inc | Clinic/Center | 896 S Sturgeon St, Montgomery City, MO 63361-2716 | 2020-04-27 |
1750912044 | Northwest Health Services, Inc. | Clinic/Center | 418 E 2nd St, Maryville, MO 64468-1703 | 2020-01-27 |
1669003950 | Northwest Health Services, Inc. | Clinic/Center | 525 W South Hills Dr, Maryville, MO 64468-3653 | 2020-01-27 |
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 |
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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.