NPIMap

Organization Active NPI

Preferred Family Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bowling Green, MO
National Provider Identifier
1902362965
Registry record updated Jul 29, 2022
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.
Practice address
700 W Adams St
Bowling Green, MO 63334-2046
Phone
(573) 603-1460
Fax
(573) 603-1462
NPI assigned
Feb 14, 2019
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mark Conover
Title
Chief Revenue Officer
Phone
(573) 353-0014

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051019000599 MO Part B Supplier - Clinic/Group Practice 0244256246 Receives reassigned benefits from 143 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint Louis, MO; Madison, MO; Saint Charles, MO; Paris, MO; Monroe City, MO; Moberly, MO; Montgomery City, MO; Saint Peters, MO…
O20200114000626 MO Part a Provider - Federally Qualified Health Center (FQHC) 0244256246 Practice locations: Bowling Green, MO

Federally qualified health center certification: CCN 261190

Medicare enrollment files
Legal name
PREFERRED FAMILY HEALTHCARE INC
Doing business as
CLARITY HEALTHCARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 13, 2020
Last certification
Jan 13, 2020
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
700 W Adams St
Bowling Green, MO 63334-2046

All disclosed owners & managing parties 17

Medicare enrollment files

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 Jun 29, 2004
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 21, 2011
Elphanie Swift Individual Corporate DirectorBoard Member Sep 18, 2019
Stanley Melton Individual Corporate DirectorBoard Member Dec 15, 2011
Anthony Henderson Individual Corporate DirectorBoard Member Mar 15, 2012
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 Jul 26, 2018

National Provider Directory

National Provider Directory
Tax ID family
Preferred Family Health Care Inc149 organizations share this tax ID

Corporate family (same tax ID) 22

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

View all 22

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

700 W Adams St
Bowling Green, MO 63334-2046

Mailing address

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

Other names 1

NPPES NPI Registry
  • Clarity Healthcare Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2022.

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1902362965",
    "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": "700 W ADAMS ST",
            "city": "BOWLING GREEN",
            "state": "MO",
            "postal_code": "633342046",
            "telephone_number": "573-603-1460",
            "fax_number": "573-603-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED FAMILY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "CONOVER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
        "authorized_official_telephone_number": "573-353-0014"
    },
    "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"
        },
        {
            "organization_name": "Clarity Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, MO

Sources for this page

Verify at the official NPI Registry.