JORDAN VALLEY COMMUNITY HEALTH CENTER-PHARMACY
NPI 1477657658
Clinic/Center - Federally Qualified Health Center (FQHC) in Lebanon, MO

Active since September 11, 2006
860 LYNN ST, LEBANON, MO 65536(417) 831-0150 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 2, 2021, Mar 16, 2017, Feb 22, 2017 (3 updates tracked since 2017).

About Jordan Valley Community Health Center-pharmacy NPPES

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

JORDAN VALLEY COMMUNITY HEALTH CENTER-PHARMACY (NPI 1477657658) is a healthcare organization registered as a federally qualified health center (fqhc) in Lebanon, Missouri and active in the NPI registry since September 2006. The organization lists Kenneth Brooks Miller, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1477657658
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameADVOCATES FOR A HEALTHY COMMUNITY, INC
Location Address860 LYNN STLebanon, MO 65536-3832
Mailing Address440 E Tampa StSpringfield, MO 65806-1131 · (417) 851-1551
Organization SubpartNo
Authorized OfficialKenneth Brooks MillerExecutive Director · (417) 831-0150
Enumeration DateSeptember 11, 2006
Last NPPES UpdateDecember 2, 20213 updates tracked since enumeration
NPPES CertifiedDecember 2, 2021
NPI 1477657658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
860 LYNN ST, Lebanon, MO 65536

Other Names 1

Doing Business AsJordan Valley Community Health Center-pharmacy

Other Identifiers 1

MedicaidPENDINGMO

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
860 LYNN ST
LEBANON, MO 65536
Psychiatry & Neurology (Psychiatry)
860 LYNN ST
LEBANON, MO 65536
Dentist
860 LYNN ST
LEBANON, MO 65536
Counselor (Professional)
860 LYNN ST
LEBANON, MO 65536
Counselor (Professional)
860 LYNN ST
LEBANON, MO 65536
Counselor (Mental Health)
860 LYNN ST
LEBANON, MO 65536
Nurse Practitioner (Primary Care)
860 LYNN ST
LEBANON, MO 65536
Counselor (Mental Health)
860 LYNN ST
LEBANON, MO 65536

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 1477657658. It was assigned to this organization in the NPPES registry on September 11, 2006. The provider is doing business as Jordan Valley Community Health Center-Pharmacy.

Where is Advocates For A Healthy Community, Inc located?

Advocates For A Healthy Community, Inc is located at 860 Lynn St, Lebanon, MO 65536. The listed phone number is (417) 831-0150.

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 December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.