PREFERRED FAMILY HEALTH CARE, INC (NPI# 1164945168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164945168 |
| Entity Type | Organization |
| Organization Name | PREFERRED FAMILY HEALTH CARE, INC |
| Practice Address |
653 Clinic Rd Hannibal MO 63401-3607 |
| Mailing Address |
118 N 2nd St Saint Charles MO 63301-2832 |
| Practice Telephone | 5736031460 |
| Mailing Telephone | 6362241000 |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | MARK CONOVER (COO) |
| Authorized Official Telephone | 6606651962 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740831460 | Preferred Family Health Care, Inc | Community/Behavioral Health | 1625 Gratz Brown St, Moberly, MO 65270-1994 | 2019-09-24 |
| 1013468925 | Preferred Family Health Care, Inc | Substance Abuse Rehabilitation Facility | 9219 Sibley Hall Road, Little Rock, AR 72209-0000 | 2016-10-17 |
| 1649726639 | Preferred Family Health Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 9219 Sibley Hole Rd, Little Rock, AR 72209-8874 | 2016-08-30 |
| Street Address |
653 CLINIC RD |
| City | HANNIBAL |
| State | MO |
| Zip Code | 63401-3607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952938367 | Bridgett L Cooper | Counselor | 653 Clinic Rd, Hannibal, MO 63401-3607 | 2020-03-25 |
| 1235762386 | Alexandria Cross | Licensed Practical Nurse | 653 Clinic Rd, Hannibal, MO 63401-3607 | 2020-02-18 |
| 1881164580 | Jazmin Adams | Licensed Practical Nurse | 653 Clinic Rd, Hannibal, MO 63401-3607 | 2018-11-26 |
| 1902325327 | Kathleen Gerding | Social Worker | 653 Clinic Rd, Hannibal, MO 63401-3607 | 2017-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
| 1316452295 | Hannibal Regional Healthcare System, Inc | Hospice Care, Community Based | 6401 Hwy Mm, Hannibal, MO 63401 | 2017-12-13 |
| 1932614351 | Sidney M Johnson | Counselor | 1221 Broadway St, Hannibal, MO 63401 | 2017-12-07 |
| 1316467210 | Jessica Baker | Counselor | 4355 Paris Gravel Road, Hannibal, MO 63401 | 2017-06-21 |
| 1346787066 | Hands Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Settlerstrail, Hannibal, MO 63401 | 2017-01-20 |
| 1134571672 | Pamela Barrigar | Social Worker | 4600 Mcmasters Ave, Hannibal, MO 63401 | 2016-07-08 |
| 1639540677 | Jessica Murfin | Speech-Language Pathologist | 544 N Veterans Rd, Hannibal, MO 63401 | 2015-10-16 |
| 1366835639 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 8965 Highway 36 Ste 3, Hannibal, MO 63401 | 2015-03-11 |
| 1639324254 | Hannibal Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 118 Steam Boat Bend, Hannibal, MO 63401 | 2008-11-24 |
| 1780856112 | Barbara Belle Smith | Social Worker | 3700 Hwy Mm, Hannibal, MO 63401 | 2008-03-26 |
| Find all providers in zip 63401 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942724992 | Marion County Services, Inc. | Community/Behavioral Health | 3175 Palmyra Road, Hannibal, MO 63401 | 2017-08-01 |
| 1104368703 | Mark Twain Association for Mental Health, Inc | Community/Behavioral Health | 917 Broadway, Hannibal, MO 63401-4200 | 2016-11-14 |
| 1023434479 | Preferred Family Healthcare, Inc. | Community/Behavioral Health | 141 Communication Dr, Hannibal, MO 63401-3670 | 2014-03-10 |
| 1538216197 | Mark Twain Association for Mental Health, Inc. | Community/Behavioral Health | 917 Broadway, Hannibal, MO 63401-4200 | 2007-01-05 |
| 1447307004 | Mark Twain Association for Mental Health, Inc. | Community/Behavioral Health | 917 Broadway, Hannibal, MO 63401-4200 | 2007-01-05 |
| 1700933363 | Mark Twain Association for Mental Health, Inc. | Community/Behavioral Health | 917 Broadway, Hannibal, MO 63401-4200 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799360 | Alternative Interventions, Inc. | Community/Behavioral Health | 500 Nw Plaza Dr Ste 500, Saint Ann, MO 63074-2220 | 2020-10-26 |
| 1679171177 | Preferred Path LLC | Community/Behavioral Health | 1619 Summer Run Dr Unit 23, Florissant, MO 63033-6440 | 2020-10-15 |
| 1790398329 | Walking Each Other Home Wellness LLC | Community/Behavioral Health | 5149 Dresden Ave, Saint Louis, MO 63116-1325 | 2020-08-24 |
| 1487271839 | Irma Hagarty Counseling Services LLC | Community/Behavioral Health | 9450 Manchester Rd Ste 204, Saint Louis, MO 63119-1452 | 2020-07-01 |
| 1649892779 | Ip Reserve | Community/Behavioral Health | 21332 Midway Ave, Gallatin, MO 64640-6314 | 2020-05-12 |
| 1417583360 | Professional Counseling Connections | Community/Behavioral Health | 3021 Highway A Ste 104, Washington, MO 63090-5498 | 2020-03-22 |
| 1861026098 | Sana Lake Recovery Center, LLC | Community/Behavioral Health | 140 Weldon Parkway, Maryland Heights, MO 63043 | 2020-02-26 |
| 1891326559 | Justin Jerome Phillips | Community/Behavioral Health | 4021 Laclede Ave # 23211, Saint Louis, MO 63108-3271 | 2020-01-31 |
| 1497399414 | Good Vibes Counseling Services | Community/Behavioral Health | 2002 Madison 417, Fredericktown, MO 63645-7002 | 2019-11-01 |
| 1528601614 | Worryfree Enterprises LLC | Community/Behavioral Health | 14491 Soho Dr, Florissant, MO 63034-2651 | 2019-10-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.