Preferred Family Healthcare, Inc
Organization Active NPI Community/Behavioral Health Agency · Kirksville, MO
NPI 1649474206 · NPPES record last updated Mar 9, 2023
Key facts
- NPI
- 1649474206
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 6300-9238 (MO)
- Legal business name
- PREFERRED FAMILY HEALTHCARE, INC
- Practice address
- 900 E Laharpe St
Kirksville, MO 63501-4520 - Phone
- (660) 665-1962
- Fax
- (660) 665-3989
- NPI assigned
- Jun 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Mark Conover
- Title
- Chief Revenue Officer
- Phone
- (573) 603-1460
Other NPIs on the same Medicare enrollment 24
Practitioners 150
-
Andrea Andric, MA, LPC
-
Jessica N Baker, MS, LPC
-
Christine Noelle Barr, LCSW
-
Janelle R'Ene Barrett, LMFT
-
Pamela Barrigar, MSW, LCSW
-
Angela R Barton-Scherder, MA, LPC
-
Rebecca Lyn Batten, LCSW
-
Kara Beckman, MA, LPC
-
Kelsey M Benskin, MSW, LCSW
-
Daniel Timothy Bond, LPC
-
Elizabeth Briney, MS, LPC
-
Sharon K Browne, FPMHNP
-
Susan G Buckallew, MED, LPC
-
Amy L Bue, RN
-
Sailaja Bysani, MD
-
Jennifer R Campbell, FPMHNP
-
Grace M Carder, MSW, LCSW
-
Breanna Faith Clark, MSN, FPMHNP
-
Amanda J Comfort, MSN, FPMHNP
-
Joseph A Cox, MS, LPC
-
Erin E Davis, PMHNP, FNP
-
Shay Davis, FNP
-
Reena M Dennis, MA, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, IL
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 Practice locations: Saint Louis, MO; Madison, MO; Saint Charles, MO; Paris, MO; Monroe City, MO; Moberly, MO; Montgomery City, MO; Saint Peters, MO… |
| O20151124002928 | IL | Part B Supplier - Clinic/Group Practice | 0244256246 |
Receives reassigned benefits from 15 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Quincy, IL; Pittsfield, IL |
National Provider Directory
Locations
1 Healthcare Pl
Bowling Green, MO 63334
Phone (573) 324-2111
3531 Stardust Dr
Hannibal, MO 63401
Phone (573) 248-3900
210 Hoover Rd
Jefferson City, MO 65109
Phone (573) 632-4321
101 Adams St
Jefferson City, MO 65101
Phone (573) 556-6589
5620 W Wildwood Ranch Pkwy
Joplin, MO 64804
Phone (417) 623-1900
2015 S Halliburton St
Kirksville, MO 63501
Phone (660) 626-0698
7 Westowne St
Liberty, MO 64068
Phone (417) 884-3008
2120 Parkway Dr
Saint Peters, MO 63376
Phone (636) 332-5835
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 6300-9238 | MO | Yes |
| Multi-Specialty Clinic/Center | 261QM1300X | 6300-11443 | MO |
Addresses
Primary practice location
900 E Laharpe St
Kirksville, MO 63501-4520
Mailing address
1601 Old South River Rd
Saint Charles, MO 63303-4120
Phone (636) 224-1210
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PARENT NPI | Other | FOR BILLING ADDRESS ONLY |
Other providers in Kirksville, MO
- Preferred Family Healthcare
- Preferred Family Healthcare
- Preferred Family Healthcare
- Preferred Family Healthcare
- Preferred Family Healthcare, Inc
- Preferred Family Healthcare, Inc.
- Preferred Family Healthcare, Inc.
- Preferred Family Healthcare, Inc.
- Preferred Family Healthcare, Inc.
- Preferred Family Healthcare, Inc.
All providers in Kirksville, MO · Community/Behavioral Health Agency 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 9, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.