Preferred Family Healthcare
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Kirksville, MO
NPI 1992838890 · NPPES record last updated Aug 1, 2022
Key facts
- NPI
- 1992838890
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- 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
- Yes
- Parent organization (as reported)
- PREFERRED FAMILY HEALTHCARE
Authorized official
- Name
- Mark Conover
- Title
- Chief Revenue Officer
- Phone
- (573) 603-1460
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Preferred Family Health Care Inc
- Part of
- Preferred Family Health Care Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 866204407 | Medicaid | MO |
Other providers in Kirksville, MO
- Marisa F Powers
- Pamela Pratte
- 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.
All providers in Kirksville, MO · Substance Use Disorder Rehabilitation Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.