| NPI | 1326739418 |
|---|---|
| Doing Business As | JORDAN VALLEY COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | KENNETH BROOKS MILLER CEO 417-851-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |