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Preferred Family Healthcare

Organization Active NPI Adult Mental Health Clinic/Center · Kirksville, MO

NPI 1801929708 · NPPES record last updated Jul 29, 2022

Key facts

NPI
1801929708
Entity type
Organization (NPI type 2)
Primary specialty
Adult Mental Health Clinic/Center 261QM0850X
License
6300-9238 (MO)
Legal business name
PREFERRED FAMILY HEALTHCARE
Practice address
900 E Laharpe St
Kirksville, MO 63501-4520
Phone
(660) 665-1962
Fax
(660) 665-3989
NPI assigned
Mar 13, 2007
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Preferred Family Health Care Inc (149 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 6300-9238 MO Yes

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

IdentifierTypeStateIssuer
876176306MedicaidMO

Other providers in Kirksville, MO

All providers in Kirksville, MO · Adult Mental Health Clinic/Center in Missouri

Sources for this page

Verify at the official NPI Registry.