| NPI | 1700539301 |
|---|---|
| Doing Business As | JORDAN VALLEY COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | KENNETH BROOKS MILLER CEO 417-831-0150 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2023-01-12 |