NPIMap

Organization Active NPI

Preferred Family Healthcare, Inc

Doing business as Clarity Healthcare

  • Federally Qualified Health Center (FQHC)
  • New London, MO
National Provider Identifier
1134820186
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PREFERRED FAMILY HEALTHCARE, INC
Doing business as
Clarity Healthcare
Practice address
405 W 1St St
New London, MO 63459-1204
Phone
(573) 603-1460
NPI assigned
Mar 16, 2023
Last updated
Mar 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Mark Conover
Title
Cro
Phone
(573) 603-1460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

405 W 1St St
New London, MO 63459-1204

Mailing address

1601 Old South River Rd
Saint Charles, MO 63303-4120
Phone (636) 224-1210

Other names 1

  • Clarity Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230602000611 MO Part A Provider - Federally Qualified Health Center (FQHC) 0244256246 Practice locations: New London, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1134820186. Details of each certification follow.

Federally qualified health center certification: CCN 261935

Legal name
PREFERRED FAMILY HEALTHCARE INC
Doing business as
CLARITY HEALTHCARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 18, 2023
Last certification
May 18, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
405 W 1St St
New London, MO 63459-1204

National Provider Directory

National Provider Directory
Tax ID family
Preferred Family Healthcare149 organizations share this tax ID, including this one

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

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Larry Shawn Sando Individual W-2 Managing EmployeeCeo, Centerstone Medical Group Nov 1, 2025
Lisa Fairley Individual Corporate DirectorBoard Member Jun 29, 2004
Jennifer L Gagnon Individual Corporate OfficerCfo Jan 1, 2022
Thomas Weber Individual Corporate OfficerDivision President, West Nov 1, 2025
Amanda R Carter Individual Corporate OfficerVice President, Managed Care Jan 22, 2018
Jim Bergman Individual Corporate DirectorBoard Member Sep 18, 2019
David Guth Individual Corporate OfficerCeo Nov 1, 2025
Robert Berry Individual Corporate DirectorBoard Member Sep 21, 2011
Elphanie Swift Individual Corporate DirectorBoard Member Sep 18, 2019
Stanley Melton Individual Corporate DirectorBoard Member Dec 15, 2011
Anthony Henderson Individual Corporate OfficerBoard Member Mar 15, 2012
Carol Bean Individual Corporate OfficerDivision President, East Nov 1, 2025
John J Benson Individual Corporate DirectorBoard Member Feb 25, 1988
Carl D Davis Individual Corporate OfficerCeo Elect Jan 1, 2022
Sharon Brown Individual Corporate DirectorBoard Member Jan 15, 2003
Donald Crosby Individual Corporate DirectorBoard Member Jul 26, 2018

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1134820186",
    "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",
            "telephone_number": "636-224-1210",
            "fax_number": "636-246-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W 1ST ST",
            "city": "NEW LONDON",
            "state": "MO",
            "postal_code": "634591204",
            "telephone_number": "573-603-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED FAMILY HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "CONOVER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CRO",
        "authorized_official_telephone_number": "573-603-1460"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarity Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New London, MO

Sources for this page

Verify at the official NPI Registry.