NPIMap

Organization Active NPI

Preferred Family Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Kirksville, MO
National Provider Identifier
1104262385
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1199 Issued in MO
Legal business name
PREFERRED FAMILY HEALTHCARE, INC.
Practice address
1101 Jamison St
Kirksville, MO 63501-3943
Phone
(660) 665-1962
Fax
(660) 627-0642
NPI assigned
May 15, 2013
Last updated
Jun 10, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PREFERRED FAMILY HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Conover
Title
Chief Revenue Officer
Phone
(573) 603-1460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1199 MO Primary

Addresses

Primary practice location

1101 Jamison St
Kirksville, MO 63501-3943

Mailing address

1601 Old South River Rd
Saint Charles, MO 63303-4120

National Provider Directory

National Provider Directory
Tax ID family
Preferred Family Health Inc149 organizations share this tax ID, including this one
Part of
Preferred Family Health Inc

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1104262385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 OLD SOUTH RIVER RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 JAMISON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635013943",
            "telephone_number": "660-665-1962",
            "fax_number": "660-627-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED FAMILY HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREFERRED FAMILY HEALTHCARE, INC.",
        "enumeration_date": "2013-05-15",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "CONOVER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
        "authorized_official_telephone_number": "573-603-1460"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "1199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirksville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.