NPIMap

Organization Active NPI

Advocates for a Healthy Community Inc

Doing business as Jordan Valley Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Springfield, MO
National Provider Identifier
1700539301
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ADVOCATES FOR A HEALTHY COMMUNITY INC
Doing business as
Jordan Valley Community Health Center
Practice address
1720 W Grand St Ste a
Springfield, MO 65802-4802
Phone
(417) 831-0150
Fax
(417) 865-3497
NPI assigned
Feb 2, 2022
Last updated
Jan 12, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVOCATES FOR A HEALTHY COMMUNITY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kenneth Brooks Miller Jr.
Title
Ceo
Phone
(417) 831-0150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1720 W Grand St Ste a
Springfield, MO 65802-4802

Mailing address

440 E Tampa St
Springfield, MO 65806-1131
Phone (417) 851-1551

Other names 1

  • Jordan Valley Community Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advocates for Healthy Inc33 organizations share this tax ID, including this one
Part of
Advocates for Healthy Inc

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1700539301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E TAMPA ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658061131",
            "telephone_number": "417-851-1551",
            "fax_number": "417-865-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W GRAND ST STE A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658024802",
            "telephone_number": "417-831-0150",
            "fax_number": "417-865-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATES FOR A HEALTHY COMMUNITY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVOCATES FOR A HEALTHY COMMUNITY INC",
        "enumeration_date": "2022-02-02",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "BROOKS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-831-0150",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan Valley Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.