NPI | 1689045981 |
---|---|
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) |
Enumeration Date | 2015-10-13 |
Last Update Date | 2021-12-02 |