Organization
PREFERRED FAMILY HEALTHCARE, 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
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
251S00000X
Community/Behavioral Health Agency
Primary
6300-9238
MO
261QM1300X
Multi-Specialty Clinic/Center
6300-11443
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PARENT NPI
FOR BILLING ADDRESS ONLY
—
Enumeration date
06/14/2007
Last updated
03/09/2023
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