Advocates for a Healthy Community Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Buffalo, MO
NPI 1750179610 · NPPES record last updated Jun 26, 2025
Key facts
- NPI
- 1750179610
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- ADVOCATES FOR A HEALTHY COMMUNITY INC
- Practice address
- 119 N Ash St
Buffalo, MO 65622-8590 - Phone
- (417) 831-0150
- NPI assigned
- Apr 29, 2025
- Organization subpart
- No
Authorized official
- Name
- Jessica Hawkins
- Title
- Credentialing Specialist
- Phone
- (417) 851-1551
Owners & managing parties with NPI records 2
-
Nicholas Albert Pfannenstiel, D.D.S.
-
Matthew L Stinson, M.D.
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 9
Practitioners 212
-
Ibrahim Abdelhamid Alahmad, FNP-BC
-
Rachel Marie Archer, M.D.
-
David O. Barbe, MD
-
Briana N Beasley, LCSW
-
Andrew Benbow, DO
-
Matthew S Cherry, D.O.
-
Autumn Clark, DO
-
Leah Crouse, FNP-C
-
Becky A. Cumley, NP-C
-
Gabrielle I. Curtis, M.D.
-
Dawn Dean, FNP
-
Amanda Cowart Derham, LCSW
-
David Douglas, P.A.C
-
Alyssa Easter, MD
-
Courtney J Estes, PA
-
Derringer Fenton, NP
-
Stephanie L Flygare, MS, PA-C, LPC
-
Caleb D Hall, DO
-
Meagan Hansen, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
Federally qualified health center certification: CCN 791918
- Legal name
- ADVOCATES FOR A HEALTHY COMMUNITY INC
- Doing business as
- JORDAN VALLEY COMMUNITY HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Sep 12, 2025
- Last certification
- Sep 12, 2025
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 119 N Ash St
Buffalo, MO 65622-8590
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Amy Poe |
Corporate Officer |
Jun 1, 2025 | |
| Nicholas Pfannenstiel |
W-2 Managing Employee |
Dec 1, 2024 | |
| Jeff Davis |
Corporate Officer |
Dec 1, 2024 | |
| Mendie Schoeller |
Corporate Officer |
Jun 1, 2025 | |
| Matthew Stinson |
Corporate Director |
Dec 1, 2025 | |
| Operational/Managerial Control |
Dec 1, 2024 | ||
| Trey Peck |
Corporate Officer |
Jun 1, 2025 | |
| Kevin Gipson |
Corporate Officer |
Dec 1, 2024 | |
| Phil Brown |
Corporate Officer |
Dec 1, 2024 | |
| Carol Dehaven Janick |
Corporate Officer |
Jun 1, 2025 | |
| Mike Schnake |
Corporate Officer |
Dec 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041109000631 | MO | Part B Supplier - Clinic/Group Practice | 5395653562 |
Receives reassigned benefits from 198 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lebanon, MO; Springfield, MO; Republic, MO; Buffalo, MO; Hollister, MO; Marshfield, MO |
| O20250912001688 | MO | Part a Provider - Federally Qualified Health Center (FQHC) | 5395653562 | Practice locations: Buffalo, MO |
National Provider Directory
Locations
1794 State Highway BB
Hollister, MO 65672
Phone (417) 824-1149
2020 Evergreen Pkwy
Lebanon, MO 65536
Phone (417) 334-8337
649 E Elm St
Republic, MO 65738
Phone (417) 851-1551
290 E Central St
Springfield, MO 65802
1443 N Robberson Ave
Ste 505
Springfield, MO 65802
Phone 41783101501213
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
119 N Ash St
Buffalo, MO 65622-8590
Mailing address
440 E Tampa St
Springfield, MO 65806-1131
Phone (417) 831-0150
Other names
- Jordan Valley Community Health Center
Other providers in Buffalo, MO
- Advocates for a Healthy Community
- Mary L. Agee
- Heidi R Andress
- Julia Michele Bass
- Miranda Kay Bess
- Lisa Blake
All providers in Buffalo, MO · Federally Qualified Health Center (FQHC) in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.