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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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1780062943
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREFERRED FAMILY HEALTHCARE, INC.
Provider Business Mailing 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 :
Provider Business Practice Location Address
First Line : 609 E HARTFORD AVE
Second Line :
City : PONCA CITY
State : OK
Zip : 74601-2006
Country : US
Telephone Number : 580-765-0030
Fax Number : 580-765-0073
Authorized Official
Title or Position : COO
Name : MARK CONOVER
Credential :
Telephone Number : 636-224-1210
Provider Enumeration Date : 05/08/2015
Last Update Date : 08/01/2019

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Directions to “PREFERRED FAMILY HEALTHCARE, INC. ” Practice Location

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