PREFERRED FAMILY HEALTHCARE, INC. (NPI# 1508310632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508310632 |
| Entity Type | Organization |
| Organization Name | PREFERRED FAMILY HEALTHCARE, INC. |
| Other Organization Name | BRIDGEWAY BEHAVIORAL HEALTH |
| Practice Address |
2120 Parkway Dr Saint Peters MO 63376 |
| Mailing Address |
118 N 2nd St Saint Charles MO 63301-2832 |
| Practice Telephone | 6362241200 |
| Practice Fax Number | 6369251443 |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2020-07-29 |
| 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 | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Bridgeway Behavioral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992743 | Preferred Family Healthcare, Inc. | Clinic/Center | 1 Healthcare Pl, Bowling Green, MO 63334-3602 | 2018-05-16 |
| 1770086316 | Preferred Family Healthcare, Inc. | Clinic/Center | 725 Cleveland St, Paris, MO 65275-1119 | 2018-03-09 |
| 1700326816 | Preferred Family Healthcare, Inc. | Clinic/Center | 2114 Se Washington Blvd, Bartlesville, OK 74006-7254 | 2017-03-08 |
| 1376904086 | Preferred Family Healthcare, Inc. | Community/Behavioral Health | 522 E Lakeview Rd, Stillwater, OK 74075-2825 | 2016-03-09 |
| 1184082380 | Preferred Family Healthcare, Inc. | Community/Behavioral Health | 815 Elm St, Frederick Ball Public Housing, Quincy, IL 62301-2365 | 2016-02-02 |
| 1124499074 | Preferred Family Healthcare, Inc. | Community/Behavioral Health | 540 Harrison St, Quincy, IL 62301-7236 | 2015-10-16 |
| 1871969964 | Preferred Family Healthcare, Inc. | Community/Behavioral Health | 639 York St Rm 212, Quincy, IL 62301-3919 | 2015-08-12 |
| 1386029072 | Preferred Family Healthcare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2646 W Olive St, Apt A, Springfield, MO 65802-4620 | 2015-07-23 |
| 1528446986 | Preferred Family Healthcare, Inc. | Community/Behavioral Health | 4928 Delmar Blvd, Saint Louis, MO 63108-1615 | 2015-05-18 |
| 1942561576 | Preferred Family Healthcare, Inc. | Substance Abuse Rehabilitation Facility | 2720 E 12th Ave, Winfield, KS 67156-4114 | 2012-05-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PREFERRED FAMILY HEALTHCARE, INCORPORATED | 900 E Laharpe, Kirksville, MO 63501-4520 |
| Street Address |
2120 PARKWAY DR |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| 1083052591 | Sarah Linn | Social Worker | 1236 Jungermann Rd Ste D, Saint Peters, MO 63376 | 2013-06-06 |
| Find all providers in zip 63376 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881232841 | Katelynn E Scannell | Counselor | 5988 Mid Rivers Mall Dr, Saint Peters, MO 63304-7119 | 2019-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950511 | Gene Martino | Counselor | 1750 S Brentwood Blvd Ste 302, Saint Louis, MO 63144-1339 | 2020-10-20 |
| 1255951398 | Jennifer Dayle King Brogan | Counselor | 1157 Telegraph Rd, Arnold, MO 63010-4060 | 2020-04-18 |
| 1851937676 | Elizabeth Lawton | Counselor | Elizabeth Lawton, 4220 North Grand Boulevard, Saint Louis, MO 63107 | 2019-11-27 |
| 1467008599 | The Brook Wellness Center | Counselor | 895 State Highway 248 Ste C, Branson, MO 65616-4013 | 2019-08-14 |
| 1437719879 | Rejuvenating Counseling Services | Counselor | 9191 W Florissant Ave Ste 206, Saint Louis, MO 63136-1424 | 2019-06-18 |
| 1467915645 | Plan Your Recovery, LLC | Counselor | 9890 Clayton Rd Ste 132, Saint Louis, MO 63124-1685 | 2019-04-13 |
| 1023572534 | Foundation Recovery Center | Counselor | 2301 Frederick Ave Ste 6, Saint Joseph, MO 64506-2637 | 2019-01-29 |
| 1992278139 | Fancilla Adams | Counselor | 925 State Highway V V, Kennett, MO 63857 | 2019-01-10 |
| 1841769908 | Bernard Godfrey Jr. | Counselor | 3966 Max Weich Pl, Florissant, MO 63033-6768 | 2018-11-19 |
| 1356816631 | Patrick P Pruitt | Counselor | 600 W 39th St, Kansas City, MO 64111-2910 | 2018-10-12 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
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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.