Organization
PREFERRED FAMILY HEALTH CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CONOVER (CHIEF REVENUE OFFICER)
(573) 603-1460
Entity
Organization
Contact information
Practice address
653 CLINIC RD, HANNIBAL, MO 63401-3607
(573) 603-1460
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
07/21/2017
Last updated
06/10/2022
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