Organization
PREFERRED FAMILY HEALTHCARE INC
Active
Parent organization
PREFERRED FAMILY HEALTHCARE INC
Other names
Clarity Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREFERRED FAMILY HEALTHCARE INC
Authorized official
MARK CONOVER (CHIEF REVENUE OFFICER)
(573) 603-1460
Entity
Organization
Contact information
Practice address
1805 E WALNUT ST, COLUMBIA, MO 65201-6425
(573) 603-1460
(573) 603-1462
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
251S00000X
Community/Behavioral Health Agency
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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