JORDAN VALLEY COMMUNITY HEALTH CENTER
NPI 1457778094
Clinic/Center - Federally Qualified Health Center (FQHC) in Republic, MO

Active since March 20, 2014
649 E ELM ST, REPUBLIC, MO 65738(417) 851-1565 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2023, Dec 2, 2021 (2 updates tracked since 2021).

About Jordan Valley Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN VALLEY COMMUNITY HEALTH CENTER (NPI 1457778094) is a healthcare organization registered as a federally qualified health center (fqhc) in Republic, Missouri and active in the NPI registry since March 2014. The organization lists Kenneth Brooks Miller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457778094
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameADVOCATES FOR A HEALTHY COMMUNITY, INC
Location Address649 E ELM STRepublic, MO 65738-1505
Mailing Address440 E Tampa StSpringfield, MO 65806-1131 · (417) 831-0150
Organization SubpartNo
Authorized OfficialKenneth Brooks MillerCeo · (417) 851-1551
Enumeration DateMarch 20, 2014
Last NPPES UpdateMay 18, 20232 updates tracked since enumeration
NPPES CertifiedMay 18, 2023
NPI 1457778094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
649 E ELM ST, Republic, MO 65738

Other Names 1

Doing Business AsJordan Valley Community Health Center

Other Identifiers 1

Medicaid500015254MO

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
649 E ELM ST
REPUBLIC, MO 65738
Dentist
649 E ELM ST
REPUBLIC, MO 65738

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advocates For A Healthy Community, Inc's NPI number?

The NPI number for Advocates For A Healthy Community, Inc is 1457778094. It was assigned to this organization in the NPPES registry on March 20, 2014. The provider is doing business as Jordan Valley Community Health Center.

Where is Advocates For A Healthy Community, Inc located?

Advocates For A Healthy Community, Inc is located at 649 E Elm St, Republic, MO 65738. The listed phone number is (417) 851-1565.

What is Advocates For A Healthy Community, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Advocates For A Healthy Community, Inc was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.