PREFERRED FAMILY HEALTHCARE, INC. (NPI# 1871969964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871969964 |
| Entity Type | Organization |
| Organization Name | PREFERRED FAMILY HEALTHCARE, INC. |
| Other Organization Name | CLARITY HEALTHCARE |
| Practice Address |
639 York St Rm 212 Quincy IL 62301-3919 |
| Mailing Address |
900 E Laharpe St Kirksville MO 63501-4520 |
| Practice Telephone | 6606651962 |
| Mailing Telephone | 6606651962 |
| Mailing Fax Number | 6606653989 |
| Enumeration Date | 2015-08-12 |
| 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 | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Clarity Healthcare | 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 |
| 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 |
639 YORK ST RM 212 |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235773565 | Lindsay Schaffer | Counselor | 639 York St Rm 212, Quincy, IL 62301-3919 | 2019-10-30 |
| 1073176038 | Cheryl Krus | Counselor | 639 York St Rm 212, Quincy, IL 62301-3919 | 2019-04-16 |
| 1174099097 | Preferred Family Healthcare, Inc. | Case Management | 639 York St Rm 212, Quincy, IL 62301-3919 | 2018-10-18 |
| 1588186928 | Matthew Scott Walker | Nurse Practitioner | 639 York St Rm 212, Quincy, IL 62301-3919 | 2017-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
| 1003324260 | Board of Trustees of Southern Illinois University | Clinic/Center | 4409 Maine St Ste 100, Quincy, IL 62305-5849 | 2018-01-22 |
| 1083121537 | Board of Trustees of Southern Illinois University | Clinic/Center | 330 Vermont St Ste 100, Quincy, IL 62301-2700 | 2018-01-05 |
| 1922515451 | Board of Trustees of Southern Illinois University | Clinic/Center | 330 Vermont St Ste 211, Quincy, IL 62301-2700 | 2018-01-05 |
| 1275012353 | Quincy Community Health Center | Clinic/Center | 1450 1st Ave Sw, Quincy, WA 98848-1695 | 2018-08-09 |
| 1376921924 | Board of Trustees of Southern Illinois University | Clinic/Center | 612 N 11th St, Quincy, IL 62301-2662 | 2015-05-15 |
| 1336382944 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 38 Broad St, Quincy, MA 02169 | 2009-04-13 |
| 1528214756 | Moses Lake Community Health Center | Clinic/Center | 1450 1st Ave Sw, Quincy, WA 98848-1695 | 2008-08-07 |
| 1376574103 | Manet Community Health Center, Inc. | Clinic/Center | 1193 Sea St, Quincy, MA 02169-3544 | 2006-07-06 |
| 1093746828 | Manet Community Health Center, Inc. | Clinic/Center | 114 Whitwell St, 2nd Floor, Quincy, MA 02169-1870 | 2006-07-06 |
| Find all providers in QUINCY | ||||
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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.