| Jordan Valley Community Health Center | |
|
618 N Benton Ave Springfield MO 65806-1102 | |
| (417) 831-0150 | |
| (417) 831-0155 |
| Full Name | Jordan Valley Community Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 618 N Benton Ave, Springfield, 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 |
|---|---|
| Jordan Valley Community Health Center 440 E Tampa St Springfield MO 65806-1131 Ph: (417) 851-1551 | Jordan Valley Community Health Center 618 N Benton Ave Springfield MO 65806-1102 Ph: (417) 831-0150 |
| NPI Number | 1407954407 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 12/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407954407 | NPI | - | NPPES |
| 400382800 | Medicaid | MO | |
| 500382809 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
James M. Carmichael, Dc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3108 S Fremont Ave, Springfield, MO 65804 Phone: 417-886-4910 Fax: 417-886-4910 | |
Cox Senior Health Center South Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3525 S National Ave, #307, Springfield, MO 65807 Phone: 417-269-9220 Fax: 417-269-9229 | |
The Diagnostic Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3800 S National Ave, #600, Springfield, MO 65807 Phone: 417-269-1499 Fax: 417-269-1459 | |
Cox Senior Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1423 N Jefferson Ave, #k-100, Springfield, MO 65802 Phone: 417-269-3915 Fax: 417-269-3913 | |
Mercy Clinic Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 Fax: 417-820-2100 | |
Elfindale Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1429 W Sunshine St, Springfield, MO 65807 Phone: 417-269-2240 Fax: 417-269-2245 | |
Jordan Valley Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1720 W Grand St Ste B, Springfield, MO 65802 Phone: 417-831-0150 Fax: 417-831-0155 |