ADVOCATES FOR A HEALTHY COMMUNITY, INC. (NPI# 1275642282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275642282 |
| Entity Type | Organization |
| Organization Name | ADVOCATES FOR A HEALTHY COMMUNITY, INC. |
| Other Organization Name | JORDAN VALLEY COMMUNITY HEALTH CENTER |
| Practice Address |
630 W Kearney St Springfield MO 65803-2508 |
| Mailing Address |
Po Box 5681 Springfield MO 65801-5681 |
| Practice Telephone | 4178310150 |
| Practice Fax Number | 4178310155 |
| Mailing Telephone | 4178310150 |
| Mailing Fax Number | 4178310155 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KENNETH BROOKS MILLER JR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4178310150 |
| 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 |
| 1215233630 | Advocates for A Healthy Community, Inc. | Clinic/Center | 440 E Tampa St, Springfield, MO 65806-1131 | 2011-02-02 |
| 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 |
| 1588773477 | Advocates for A Healthy Community, Inc. | Clinic/Center | 323 E Grand St, Springfield, MO 65807-1447 | 2006-08-30 |
| Street Address |
630 W KEARNEY ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65803-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598873234 | James Edward Duff | Internal Medicine | 630 W Kearney St, Springfield, MO 65803-2508 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104448216 | Kathleen Gail Newell-lewis | Registered Nurse | 2345 E. Cherokee, Springfield, MO 65803 | 2020-05-12 |
| 1285145730 | Meghan Roetto | Social Worker | 2130 N Glenstone, Springfield, MO 65803 | 2017-10-23 |
| 1346751757 | John B Lehn | Pharmacist | 2625 N Kansas Expressway, Springfield, MO 65803 | 2017-10-12 |
| 1558805754 | Bhg Xliii, LLC | Clinic/Center | 2551 W Kearney St, Springfield, MO 65803 | 2016-12-07 |
| 1962856187 | Karissa Knight | Counselor | 2438 N Cottage, Springfield, MO 65803 | 2016-04-14 |
| 1417383290 | Walgreens | Community/Behavioral Health | 1525 W Kearny, Springfield, MO 65803 | 2013-09-24 |
| 1790123479 | Sarah Fontana | Dentist | 2241 N. Glenstone Ave., Springfield, MO 65803 | 2013-06-04 |
| 1942499587 | Jeci Mora Ramos Jr. | Hearing Instrument Specialist | 2133 N Nettleton, Springfield, MO 65803 | 2007-10-19 |
| 1598891012 | Dwight Richard Daugherty | Dentist | 3016 N Kentwood, Springfield, MO 65803 | 2007-02-26 |
| 1144388224 | Bradley Douglas Graf | Dentist | 1410 E Kearney, Suite A, Springfield, MO 65803 | 2006-12-04 |
| Find all providers in zip 65803 | ||||
| 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 | 65803 |
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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.