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NPI Code Detail

MEDICARE: PREFERRED FAMILY HEALTHCARE, INC

MEDICARE: PREFERRED FAMILY HEALTHCARE, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336284447
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREFERRED FAMILY HEALTHCARE, INC
Provider Business Mailing Address
First Line : 1601 OLD SOUTH RIVER RD
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63303-4120
Country : US
Telephone Number : 636-224-1210
Fax Number : 636-246-1008
Provider Business Practice Location Address
First Line : 900 E LAHARPE ST
Second Line :
City : KIRKSVILLE
State : MO
Zip : 63501-4520
Country : US
Telephone Number : 660-665-1962
Fax Number : 660-665-3989
Authorized Official
Title or Position : CHIEF REVENUE OFFICER
Name : MARK CONOVER
Credential :
Telephone Number : 573-603-1460
Provider Enumeration Date : 02/20/2007
Last Update Date : 07/29/2022

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Directions to “PREFERRED FAMILY HEALTHCARE, INC ” Practice Location

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