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NPI Code Detail

MEDICARE: PREFERRED FAMILY HEALTHCARE

MEDICARE: PREFERRED FAMILY HEALTHCARE
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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center6300-9238MO
23245S0500XChildren's Substance Abuse Rehabilitation Facility6300-9238MO

General Provider Information

NPI Number : 1427181361
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREFERRED FAMILY HEALTHCARE
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 : 1628 OKLAHOMA AVE
Second Line :
City : TRENTON
State : MO
Zip : 64683-2565
Country : US
Telephone Number : 660-359-4600
Fax Number : 660-359-4286
Authorized Official
Title or Position : CHIEF REVENUE OFFICER
Name : MARK CONOVER
Credential :
Telephone Number : 573-603-1460
Provider Enumeration Date : 03/13/2007
Last Update Date : 07/29/2022

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Directions to “PREFERRED FAMILY HEALTHCARE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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