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JORDAN VALLEY COMMUNITY HEALTH CENTER
NPI 1720566805
Clinic/Center - Federally Qualified Health Center (FQHC) in Lebanon, MO

Active since August 01, 2018
860 LYNN ST, LEBANON, MO 65536(417) 344-0062 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2021, Aug 1, 2018 (2 updates tracked since 2018).

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 1720566805) is a healthcare organization registered as a federally qualified health center (fqhc) in Lebanon, Missouri and active in the NPI registry since August 2018. The organization lists Jo Anne Thompson, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1720566805
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameADVOCATES FOR A HEALTHY COMMUNITY, INC.
Location Address860 LYNN STLebanon, MO 65536-3810
Mailing Address440 E Tampa StSpringfield, MO 65806-1131 · (417) 851-1551
Phone(417) 344-0062
Organization SubpartNo
Authorized OfficialJo Anne ThompsonDirector Of Finance · (417) 831-0150
Enumeration DateAugust 1, 2018
Last NPPES UpdateDecember 2, 20212 updates tracked since enumeration
NPPES CertifiedDecember 2, 2021
✔ NPI 1720566805 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 · License 2017013552 (MO)
860 LYNN ST, Lebanon, MO 65536
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Other Names 1

Doing Business AsJordan Valley Community Health Center

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.

MS. JERILIE MARSHALL LPC, MS, NCC
Counselor (Mental Health)
860 LYNN ST
LEBANON, MO 65536
Laclede County (888) 403-1071
MONIKA GOYAL MD
Psychiatry & Neurology (Psychiatry)
860 LYNN ST
LEBANON, MO 65536
Laclede County (888) 403-1071
JONATHAN WISER
Dentist
860 LYNN ST
LEBANON, MO 65536
Laclede County (417) 334-8337
SHELLEY LOUISE JUNGEN LPC
Counselor (Professional)
860 LYNN ST
LEBANON, MO 65536
Laclede County (888) 403-1071
MARIZA ELIZABETH URIOSTEGUI LPC
Counselor (Professional)
860 LYNN ST
LEBANON, MO 65536
Laclede County (844) 853-8937
JULIE MITCHELL LPC
Counselor (Mental Health)
860 LYNN ST
LEBANON, MO 65536
Laclede County (888) 403-1071
SHELLY KAHLER RN, FNP-BC
Nurse Practitioner (Primary Care)
860 LYNN ST
LEBANON, MO 65536
Laclede County (417) 831-0150
HEIDI C FOX
Counselor (Mental Health)
860 LYNN ST
LEBANON, MO 65536
Laclede County (844) 853-8937

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 1720566805. It was assigned to this organization in the NPPES registry on August 1, 2018. 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 860 Lynn St, Lebanon, MO 65536. The listed phone number is (417) 344-0062.

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.