Organization · Type 2 NPI

Advocates for A Healthy Community

Federally Qualified Health Center (FQHC) · Springfield, MO

NPI number 1104572312 Active

Practice location

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

Call (417) 831-0150 Map

Mailing address

440 E Tampa St
Springfield, MO 65806-1131

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Advocates for A Healthy Community IncFederally Qualified Health Center (FQHC) Springfield, MO NPI 1700539301

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NPI record

NPI: 1104572312
Entity type: Organization (Type 2)
Issued: Feb 25, 2022
Last updated: Jul 30, 2024
Status: Active

Other names

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Jordan Valley Community Health Center · doing business as
Jordan Valley Community Health Center · doing business as

Authorized official

Dr. Matthew Stinson, MD
CEO
(417) 831-0150

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About NPI 1104572312

Advocates for A Healthy Community's National Provider Identifier is 1104572312, issued on Feb 25, 2022. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Springfield, MO. The record was last updated on Jul 30, 2024.