| NPI | 1720566805 |
|---|---|
| Doing Business As | JORDAN VALLEY COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JO ANNE THOMPSON Director Of Finance 417-831-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy (Licence: MO 2017013552) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2021-12-02 |