MEDICARE: PREFERRED FAMILY HEALTH CARE, 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
1	261QP2300X	Primary Care Clinic/Center
2	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1043152507
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFERRED FAMILY HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	900 E LAHARPE ST
Second Line	:
City	:	KIRKSVILLE
State	:	MO
Zip	:	63501-4520
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	234 E SOUTHERN AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46225-2121
Country	:	US
Telephone Number	:	317-882-5122
Fax Number	:

Authorized Official
Title or Position	:	VP MANAGED CARE
Name	:	AMANDA R CARTER
Credential	:
Telephone Number	:	417-761-5126

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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