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 (COO)
(660) 665-1962
Entity
Organization
Contact information
Practice address
830 S HILLSIDE ST, WICHITA, KS 67211-3004
(316) 613-2222
(316) 613-2220
Mailing address
900 E LAHARPE ST, PO BOX 767, KIRKSVILLE, MO 63501-4520
(660) 665-1962
(660) 665-3989
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
629
KS
171M00000X
Case Manager/Care Coordinator
541 574 613 629
KS
324500000X
Substance Abuse Rehabilitation Facility
541 574 613
KS
3245S0500X
Children's Substance Abuse Rehabilitation Facility
541 649
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001579
BCBS
—
05
—
100449090TA
—
KS
01
—
116054
BCBS
—
Enumeration date
11/27/2006
Last updated
07/29/2020
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