| Advocates For A Healthy Community, Inc | |
|
2020 Evergreen Pkwy Lebanon MO 65536-4611 | |
| (417) 334-8337 | |
| (417) 832-8275 |
| Full Name | Advocates For A Healthy Community, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2020 Evergreen Pkwy, Lebanon, Missouri |
| Authorized Official Name and Position | Kenneth Brooks Miller (CEO) |
| Authorized Official Contact | 4178511551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advocates For A Healthy Community, Inc 440 E Tampa St Springfield MO 65806-1131 Ph: (417) 851-1551 | Advocates For A Healthy Community, Inc 2020 Evergreen Pkwy Lebanon MO 65536-4611 Ph: (417) 334-8337 |
| NPI Number | 1326739418 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 05/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326739418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Dental Professionals Of Missouri, Richard Straus, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1180 Lynn St, Lebanon, MO 65536 Phone: 417-532-7166 | |
Ross W Stryker Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 590 Lynn St, Lebanon, MO 65536 Phone: 417-532-9532 Fax: 417-532-9526 | |
Stryker Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 590 Lynn St, Lebanon, MO 65536 Phone: 417-532-9535 |