| NPI | 1952410995 |
|---|---|
| Doing Business As | JORDAN VALLEY COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | KENNETH BROOKS MILLER CEO 417-831-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-12-02 |