Preferred Family Healthcare, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · New London, MO
NPI 1134820186 · NPPES record last updated Mar 16, 2023
Key facts
- NPI
- 1134820186
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- PREFERRED FAMILY HEALTHCARE, INC
- Practice address
- 405 W 1St St
New London, MO 63459-1204 - Phone
- (573) 603-1460
- NPI assigned
- Mar 16, 2023
- Organization subpart
- No
Authorized official
- Name
- Mark Conover
- Title
- Cro
- Phone
- (573) 603-1460
Corporate family (same tax ID) 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
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
- Corporation · Non-profit
- Enrollment address
- 405 W 1St St
New London, MO 63459-1204
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Larry Shawn Sando |
W-2 Managing Employee |
Nov 1, 2025 | |
| Lisa Fairley |
Corporate Director |
Jun 29, 2004 | |
| Jennifer L Gagnon |
Corporate Officer |
Jan 1, 2022 | |
| Thomas Weber |
Corporate Officer |
Nov 1, 2025 | |
| Amanda R Carter |
Corporate Officer |
Jan 22, 2018 | |
| Jim Bergman |
Corporate Director |
Sep 18, 2019 | |
| David Guth |
Corporate Officer |
Nov 1, 2025 | |
| Robert Berry |
Corporate Director |
Sep 21, 2011 | |
| Elphanie Swift |
Corporate Director |
Sep 18, 2019 | |
| Stanley Melton |
Corporate Director |
Dec 15, 2011 | |
| Anthony Henderson |
Corporate Officer |
Mar 15, 2012 | |
| Carol Bean |
Corporate Officer |
Nov 1, 2025 | |
| John J Benson |
Corporate Director |
Feb 25, 1988 | |
| Carl D Davis |
Corporate Officer |
Jan 1, 2022 | |
| Sharon Brown |
Corporate Director |
Jan 15, 2003 | |
| Donald Crosby |
Corporate Director |
Jul 26, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230602000611 | MO | Part a Provider - Federally Qualified Health Center (FQHC) | 0244256246 | Practice locations: New London, MO |
National Provider Directory
- Tax ID family
- Preferred Family Health Care Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
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
- Clarity Healthcare
Other providers in New London, MO
- Ashley Marie Brown
- Comprehensive Health Systems, Inc
- Comprehensive Health Systems, Inc.
- Comprehensive Health Systems, Inc.
- Independent Mobility LLC
- Ralls County Health Department
- Michael David Richardson
- Tresa Harris Richardson
- Amber Roberts
- Kim Robinson
All providers in New London, MO · Federally Qualified Health Center (FQHC) in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2023. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.