ADVOCATES FOR A HEALTHY COMMUNITY (NPI# 1437336195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437336195 |
Entity Type | Organization |
Organization Name | ADVOCATES FOR A HEALTHY COMMUNITY |
Other Organization Name | JORDAN VALLEY COMMUNITY HEALTH CENTER |
Practice Address |
1166 Banning St Marshfield MO 65706-1015 |
Mailing Address |
Po Box 5681 Springfield MO 65801-5681 |
Practice Telephone | 4178592400 |
Practice Fax Number | 4178310155 |
Mailing Telephone | (417) 831-0150 |
Mailing Fax Number | 4178310155 |
Enumeration Date | 2008-01-24 |
Last Update Date | 2017-07-25 |
Authorized Official Name | KENNETH BROOKS MILLER JR. (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 4178310150 |
Authorized Official Credential | CEO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Jordan Valley Community Health Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1922439405 | 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 |
1166 BANNING ST |
City | MARSHFIELD |
State | MO |
Zip Code | 65706-1015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427507466 | Amanda Lea Hyde | Nurse Practitioner | 1166 Banning St, Marshfield, MO 65706-1015 | 2016-10-03 |
1467727321 | Laci Mae Donnelly | Nurse Practitioner | 1166 Banning St, Marshfield, MO 65706-1015 | 2012-03-12 |
1356519524 | Advocates for A Healthy Community Inc | Clinic/Center | 1166 Banning St, Marshfield, MO 65706-1015 | 2008-02-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922629260 | Larry Dean Skeen Jr. | Physical Therapist | 1245 Banning Street, Marshfield, MO 65706 | 2020-04-28 |
1194193870 | Shelly Bilyeu | Nurse Practitioner | 487 Pomme De Terre Drive, Marshfield, MO 65706 | 2015-09-11 |
1326415753 | Misook An Rissler | Dentist | 14303 W. State Hwy 38, Marshfield, MO 65706 | 2015-09-02 |
1023485752 | Dennis E. Robinson D.o. | Clinic/Center | 487 Pomme De Terre Dr., Marshfield, MO 65706 | 2015-08-28 |
1760867808 | Samuel Swisher | Optometrist | 14740 State Hwy 38, Marshfield, MO 65706 | 2015-07-29 |
1558671495 | Crystal Lyn Brokering | Social Worker | 782 Wiseman Rd., Marshfield, MO 65706 | 2010-10-13 |
1639370653 | Dennis Paul Billman | Counselor | 436 W Washington Street, Marshfield, MO 65706 | 2007-05-29 |
1417087461 | Jane E Yarnell | Speech-Language Pathologist | 170 State Highway Dd, Marshfield, MO 65706 | 2007-03-07 |
1982782306 | Donna Lea Currier | Optometrist | 1100 Spur Drive, Ste 220, Marshfield, MO 65706 | 2006-11-02 |
1376624015 | William Brian Bartow | Dentist | 547 West Jackson St, Marshfield, MO 65706 | 2006-10-18 |
Find all providers in zip 65706 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679066690 | Richard Benjamin Alvarez Dds, LLC | Clinic/Center | 14303 State Highway 38, Marshfield, MO 65706-8952 | 2018-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306444740 | Ressel Family Dentistry LLC | Clinic/Center | 1 E Broadway Ste A, Columbia, MO 65203-4205 | 2020-10-16 |
1467059980 | Valudental Independence LLC | Clinic/Center | 600 E Us Highway 24, Independence, MO 64050-2910 | 2020-10-07 |
1144835828 | Rem Dds, LLC | Clinic/Center | 10000 Watson Rd Ste 2mm, Saint Louis, MO 63126-1848 | 2020-09-10 |
1043824832 | Pleasant Dental Care Kc | Clinic/Center | 912 E 63rd St Ste 100, Kansas City, MO 64110-3439 | 2020-08-31 |
1164033122 | Dental Depot of Blue Springs Pllc | Clinic/Center | 1500 S 7 Hwy, Blue Springs, MO 64014-3943 | 2020-08-13 |
1184235517 | Twin Creeks Family Dentistry LLC | Clinic/Center | 10560 N Ambassador Dr Ste 200, Kansas City, MO 64153-1591 | 2020-08-10 |
1003434234 | Jason L Allen Dmd LLC | Clinic/Center | 5147 Daggett Ave, Saint Louis, MO 63110-3009 | 2020-07-14 |
1538622071 | Smile Safari of Missouri | Clinic/Center | 10016 E 63rd St, Raytown, MO 64133-5102 | 2019-04-11 |
1275094864 | Itooth Family Dentistry, LLC | Clinic/Center | 3211 E Battlefield St Ste 100, Springfield, MO 65804-4071 | 2019-03-27 |
1033677901 | C. Hastings, Dds, LLC | Clinic/Center | 1709 Heritage Hills Dr, Washington, MO 63090-4621 | 2019-03-08 |
Find all providers with the same taxonomy |
City | MARSHFIELD |
Zip Code | 65706 |
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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.