ADVOCATES FOR A HEALTHY COMMUNITY, INC. (NPI# 1215233630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215233630 |
| Entity Type | Organization |
| Organization Name | ADVOCATES FOR A HEALTHY COMMUNITY, INC. |
| Other Organization Name | JORDAN VALLEY COMMUNITY HEALTH CENTER |
| Practice Address |
440 E Tampa St Springfield MO 65806-1131 |
| Practice Telephone | 4178310150 |
| Practice Fax Number | 4178310155 |
| Mailing Telephone | 4178310150 |
| Mailing Fax Number | 4178310155 |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |
| 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 |
|---|---|---|---|---|
| 1366575573 | Advocates for A Healthy Community, Inc. | Clinic/Center | 3000a E Division St, Springfield, MO 65802-2483 | 2007-03-14 |
| 1720566805 | Advocates for A Healthy Community, Inc. | Pharmacy | 860 Lynn St, Lebanon, MO 65536-3810 | 2018-08-01 |
| 1184123192 | Advocates for A Healthy Community, Inc. | Clinic/Center | 440 E Tampa St, Springfield, MO 65806-1131 | 2018-02-05 |
| 1891236170 | Advocates for A Healthy Community, Inc. | Pharmacy | 860 Lynn St, Lebanon, MO 65536-3832 | 2017-03-20 |
| 1861590861 | Advocates for A Healthy Community, Inc. | Clinic/Center | 618 N Benton Ave, Springfield, MO 65806-1102 | 2006-09-21 |
| 1407954407 | Advocates for A Healthy Community, Inc. | Clinic/Center | 618 N Benton Ave, Springfield, MO 65806-1102 | 2006-09-21 |
| 1275642282 | Advocates for A Healthy Community, Inc. | Clinic/Center | 630 W Kearney St, Springfield, MO 65803-2508 | 2006-08-30 |
| 1588773477 | Advocates for A Healthy Community, Inc. | Clinic/Center | 323 E Grand St, Springfield, MO 65807-1447 | 2006-08-30 |
| Street Address |
440 E TAMPA ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65806-1131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468411 | Della Goodwin | Social Worker | 440 E Tampa St, Springfield, MO 65806-1131 | 2005-06-24 |
| 1144829466 | Marianette Colon Laboy | Psychologist | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-10-19 |
| 1316576523 | Sarah Beth Jackson | Student in an Organized Health Care Education/Training Program | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-04-08 |
| 1942839410 | Darius William Sanford | Student in an Organized Health Care Education/Training Program | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-04-06 |
| 1639707649 | Trent Duane Madsen | Student in an Organized Health Care Education/Training Program | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-03-27 |
| 1457988453 | Chelsea Runez Brown | Student in an Organized Health Care Education/Training Program | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-03-27 |
| 1043845993 | Hallie Casteel | Student in an Organized Health Care Education/Training Program | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-03-10 |
| 1588298228 | Chelsea Houser | Nurse Practitioner | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-03-02 |
| 1104458207 | Linsey Denney | Occupational Therapist | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-02-06 |
| 1962052092 | Adeline Limmex | Counselor | 440 E Tampa St, Springfield, MO 65806-1131 | 2019-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437614625 | Jaleesa Warnay Westmoreland-ginger | Specialist/Technologist | 609 East Cherry Street, Sports Medicine and Athletic Training Suite 600, Springfield, MO 65806 | 2019-02-01 |
| 1609359116 | Stacy Johnson | Social Worker | 134 West Park Central Sq, Springfield, MO 65806 | 2018-09-11 |
| 1801312871 | Scott Lewis Stegeman | Specialist/Technologist | 609 E Cherry St, Springfield, MO 65806 | 2017-08-21 |
| 1154787638 | Alicia R. Thomas | Nurse Practitioner | 618 N. Benton, Springfield, MO 65806 | 2016-01-13 |
| 1972938231 | Karah Nicole Domenico | Dietitian, Registered | 205 Park Central East Ste. 217, Springfield, MO 65806 | 2013-09-05 |
| 1386766921 | Mary Ann Wood Smith | Counselor | 305 East Walnut, Suite 103, Springfield, MO 65806 | 2007-04-04 |
| 1811023161 | Yvonda Schwartz | Counselor | 1212 W Lombard, Great Circle, Springfield, MO 65806 | 2007-02-23 |
| 1861579880 | Richard Chalon Aiken | Psychiatry & Neurology | 440 S Market Street, Springfield, MO 65806 | 2006-11-01 |
| 1093806671 | Clint A Strong | Family Medicine | 440 E. Tampa St, Springfield, MO 65806 | 2006-09-27 |
| 1609835164 | Ray E. Burmood | Social Worker | 614 South Street, Springfield, MO 65806 | 2006-03-22 |
| Find all providers in zip 65806 | ||||
| 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 |
|---|---|---|---|---|
| 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 | 65806 |
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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.