NPI | 1104572312 |
---|---|
Doing Business As | JORDAN VALLEY COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MATTHEW STINSON CEO 417-831-0150 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-02-25 |
Last Update Date | 2024-07-30 |