Preferred Family Healthcare Inc
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Moberly, MO
NPI 1043343940 · NPPES record last updated Dec 10, 2024
Key facts
- NPI
- 1043343940
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- License
- 6300-9238 (MO)
- Legal business name
- PREFERRED FAMILY HEALTHCARE INC
- Practice address
- 3029 County Road 1325
Moberly, MO 65270-5152 - Phone
- (660) 263-1113
- Fax
- (660) 263-4572
- NPI assigned
- Mar 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Mark Conover
- Title
- Chief Revenue Officer
- Phone
- (573) 603-1460
Other NPIs on the same Medicare enrollment 16
Corporate family (same tax ID) 20
Practitioners 1
-
Jaxon J Kobey, MSW, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051019000599 | MO | Part B Supplier - Clinic/Group Practice | 0244256246 |
Receives reassigned benefits from 143 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Saint Louis, MO; Madison, MO; Saint Charles, MO; Paris, MO; Monroe City, MO; Moberly, MO; Montgomery City, MO; Saint Peters, MO… |
National Provider Directory
- Tax ID family
- Preferred Family Health Care Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 6300-9238 | MO | Yes |
Addresses
Primary practice location
3029 County Road 1325
Moberly, MO 65270-5152
Mailing address
1601 Old South River Rd
Saint Charles, MO 63303-4120
Other providers in Moberly, MO
- Jana L Paddock
- Angela Pearman
- Pegasus Emergency Group Moberly
- Physician Groups, LC
- Kelsey Pitcher
- Preferred Family Healthcare Inc
- Carla Price
- Phyllis Prier
- Prime Time Physicians, LLC
- Loy C Puckett
All providers in Moberly, MO · Substance Use Disorder Rehabilitation Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.