PREFERRED FAMILY HEALTHCARE, INC. (NPI# 1780062943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780062943 |
Entity Type | Organization |
Organization Name | PREFERRED FAMILY HEALTHCARE, INC. |
Other Organization Name | DAYSPRING COMMUNITY SERVICES |
Practice Address |
609 E Hartford Ave Ponca City OK 74601-2006 |
Mailing Address |
900 E Laharpe St Kirksville MO 63501-4520 |
Practice Telephone | 5807650030 |
Practice Fax Number | 5807650073 |
Mailing Telephone | 6606651962 |
Enumeration Date | 2015-05-08 |
Last Update Date | 2019-08-01 |
Authorized Official Name | MARK CONOVER (COO) |
Authorized Official Telephone | 6362241210 |
Is Organization Subpart | Y |
Parent Organization Name | PREFERRED FAMILY HEALTHCARE INCORPORATED |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
Dayspring Community Services | 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 |
1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
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 |
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 |
609 E HARTFORD AVE |
City | PONCA CITY |
State | OK |
Zip Code | 74601-2006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124387329 | Ashley Jessica Diedrich | Counselor | 609 E Hartford Ave, Ponca City, OK 74601-2006 | 2012-05-08 |
1952944803 | Jamie Worstell Wohletz | Counselor | 609 E Hartford Ave, Ponca City, OK 74601-2006 | 2019-10-23 |
1497182950 | Allison Nicole Miller | Counselor | 609 E Hartford Ave, Ponca City, OK 74601-2006 | 2013-09-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245867258 | Triad Health Systems LLC | Family Medicine | 2703 N 14th St, Ponca City, OK 74601 | 2020-03-27 |
1679096952 | Gabrielle Evangeline Barnes | Case Manager/Care Coordinator | 620 W. Grand, Ponca City, OK 74601 | 2017-07-19 |
1942722889 | Kimbra Leigh Anderson | Case Manager/Care Coordinator | 1500 N. 6th, Ponca City, OK 74601 | 2017-07-12 |
1033631965 | Kayla Patten | Case Manager/Care Coordinator | 620 W Grand, Ponca, OK 74601 | 2017-07-12 |
1639601859 | Affordable Dental | Dentist | 1618 N 5th St Ste 4, Ponca City, OK 74601 | 2017-03-28 |
1447627237 | Harold Jason Laughlin Jr. | Chiropractor | 222 E. Grand, Ste. 309, Ponca City, OK 74601 | 2015-08-27 |
1578947875 | Jessica James | Social Worker | 1500 N 6th, Ponca City, OK 74601 | 2015-07-16 |
1639565153 | Ryian Reyes | Point of Service | 2101 N 14th, Suite 134, Ponca City, OK 74601 | 2015-04-10 |
1003253006 | Proving Faithful Investments Inc. | Home Health | 205 W. Hartford Avenue #112, Ponca City, OK 74601 | 2013-05-30 |
1427365899 | Quint Allen Whitefield | Dentist | 1618 N. 5th Street, Suite #2, Ponca City, OK 74601 | 2010-09-08 |
Find all providers in zip 74601 |
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 |
---|---|---|---|---|
1356981138 | Grand Lake Mental Health Center Inc | Community/Behavioral Health | 2225 N Union, Ponca City, OK 74601-1536 | 2020-01-09 |
1124374558 | Laura Peitz Counseling Services, LLC | Community/Behavioral Health | 1912 Lake Rd, Ponca City, OK 74604-4800 | 2012-08-03 |
1003180068 | Wendy Renee Burg | Community/Behavioral Health | 1700 Holbrook St, Ponca City, OK 74604-3809 | 2012-03-07 |
1710109178 | Northern Oklahoma Youth Services | Community/Behavioral Health | 2203 N Ash St, Ponca City, OK 74601-1108 | 2007-05-03 |
1043382484 | Edwin Fair Community Mental Health Center, Inc. | Community/Behavioral Health | 1500 N 5th St, Ponca City, OK 74601-2758 | 2006-11-14 |
1073023537 | Blaine Catherine Ward | Community/Behavioral Health | 201 E Chestnut Ave, Ponca City, OK 74601-4311 | 2017-10-10 |
1760895684 | Dayspring Community Services | Community/Behavioral Health | 400 E Central Ave, Suite 504, Ponca City, OK 74601-5429 | 2014-06-09 |
1699102640 | Life Vision | Community/Behavioral Health | 2101 N Ash St, Ponca City, OK 74601-1106 | 2013-10-07 |
1659536977 | Choices for Life Counseling Inc. | Community/Behavioral Health | 205 W Hartford Ave, Ponca City, OK 74601-1547 | 2008-07-25 |
1972764736 | Edwin Fair Cmhc | Community/Behavioral Health | 201 E Chestnut Ave, Ponca City, OK 74601-4311 | 2008-06-24 |
Find all providers in PONCA CITY |
City | PONCA CITY |
Zip Code | 74601 |
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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.