Jordan Valley Community Health Center | |
1166 Banning St Marshfield MO 65706-1015 | |
(417) 859-2400 | |
(417) 831-0155 |
Full Name | Jordan Valley Community Health Center |
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Speciality | Clinic/center - Dental |
Location | 1166 Banning St, Marshfield, Missouri |
Authorized Official Name and Position | Kenneth Brooks Miller (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4178310150 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jordan Valley Community Health Center 440 E Tampa St Springfield MO 65806-1131 Ph: (417) 831-0150 | Jordan Valley Community Health Center 1166 Banning St Marshfield MO 65706-1015 Ph: (417) 859-2400 |
NPI Number | 1437336195 |
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Provider Enumeration Date | 01/24/2008 |
Last Update Date | 12/02/2021 |
Identifier | Type | State | Issuer |
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1437336195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
Marshfield Family Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Spur Dr, Suite 30, Marshfield, MO 65706 Phone: 417-859-3800 Fax: 417-468-2238 | |
Richard Benjamin Alvarez Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14303 State Highway 38, Marshfield, MO 65706 Phone: 417-859-0711 |