NPI | 1477657658 |
---|---|
Doing Business As | JORDAN VALLEY COMMUNITY HEALTH CENTER-PHARMACY |
Entity Type | Organization |
Authorized Contact | KENNETH BROOKS MILLER Executive Director 417-831-0150 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
Enumeration Date | 2006-09-11 |
Last Update Date | 2021-12-02 |