| NPI | 1184123192 |
|---|---|
| Doing Business As | JORDAN VALLEY COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | KENNETH BROOKS MILLER CEO/President 417-831-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |