Organization
PREFERRED FAMILY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CONOVER (CHIEF REVENUE OFFICER)
(573) 603-1460
Entity
Organization
Contact information
Practice address
900 E LAHARPE ST, KIRKSVILLE, MO 63501-4520
(660) 665-1962
(660) 665-3989
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
261QM0850X
Adult Mental Health Clinic/Center
Primary
6300-9238
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266730506
—
MO
Enumeration date
03/13/2007
Last updated
07/29/2022
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