NPIMap

Organization Active NPI

Preferred Family Healthcare Inc

Doing business as Clarity Healthcare

  • Federally Qualified Health Center (FQHC)
  • Columbia, MO
National Provider Identifier
1467114686
Registry record updated Oct 6, 2021
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
1805 E Walnut St
Columbia, MO 65201-6425
Phone
(573) 603-1460
Fax
(573) 603-1462
NPI assigned
Oct 6, 2021
Last updated
Oct 6, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PREFERRED FAMILY HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1805 E Walnut St
Columbia, MO 65201-6425

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
O20220125002811 MO Part A Provider - Federally Qualified Health Center (FQHC) 0244256246 Practice locations: Columbia, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467114686. Details of each certification follow.

Federally qualified health center certification: CCN 791145

Legal name
PREFERRED FAMILY HEALTHCARE INC
Doing business as
CLARITY HEALTHCARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 24, 2022
Last certification
Jan 24, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1805 E Walnut St
Columbia, MO 65201-6425

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2244015Clarity Healthcare -Columbia1805 East Walnut, Columbia, MO 65201Certificate of waiverNov 23, 2027

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

Ownership & related parties

All disclosed owners & managing parties 17

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 Nov 1, 2025
Lisa Fairley Individual Corporate DirectorBoard Member Sep 18, 2020
Jennifer L Gagnon Individual Corporate OfficerAuthorized Representative Jan 1, 2022
Thomas Weber Individual Corporate OfficerAuthorized Representative Jan 2, 2015
Amanda R Carter Individual W-2 Managing EmployeeDelegated Official Aug 1, 2024
Jim Bergman Individual Corporate DirectorBoard Member Sep 18, 2019
David Guth Individual Corporate OfficerAuthorized Representative Nov 1, 2025
Robert Berry Individual Corporate DirectorBoard Member Sep 18, 2020
Elphanie Swift Individual Corporate DirectorBoard Member Sep 18, 2019
Stanley Melton Individual Corporate DirectorBoard Member Dec 15, 2011
Anthony Henderson Individual Corporate DirectorBoard Member Sep 18, 2020
Carol Bean Individual Corporate OfficerAuthorized Representative Nov 1, 2025
Mark a Conover Individual Corporate OfficerAuthorized Representative Oct 5, 2018
W-2 Managing EmployeeAuthorized Representative Oct 5, 2018
John J Benson Individual Corporate DirectorBoard Member Feb 25, 1988
Carl D Davis Individual Corporate OfficerAuthorized Representative Jan 1, 2022
Sharon Brown Individual Corporate DirectorBoard Member Jan 15, 2003
Donald Crosby Individual Corporate DirectorBoard Member Sep 18, 2020

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1467114686",
    "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": "1805 E WALNUT ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016425",
            "telephone_number": "573-603-1460",
            "fax_number": "573-603-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED FAMILY HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREFERRED FAMILY HEALTHCARE INC",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarity Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.