Organization
PREFERRED FAMILY HEALTHCARE, INC.
Active
Parent organization
PREFERRED FAMILY HEALTHCARE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREFERRED FAMILY HEALTHCARE, INC.
Authorized official
MARK CONOVER (CRO)
(573) 603-1460
Entity
Organization
Contact information
Practice address
3407 BERRYWOOD DR STE 200, COLUMBIA, MO 65201-6500
(573) 603-1460
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
(636) 224-1210
(636) 246-1008
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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