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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
13245S0500XChildren's Substance Abuse Rehabilitation Facility6300-9238MO

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 : 1871638981
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 : 8333 E BLUE PKWY
Second Line :
City : KANSAS CITY
State : MO
Zip : 64133-4750
Country : US
Telephone Number : 816-474-7677
Fax Number : 816-474-7671
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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