PREFERRED FAMILY HEALTHCARE, INC. (NPI# 1922375344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922375344 |
Entity Type | Organization |
Organization Name | PREFERRED FAMILY HEALTHCARE, INC. |
Practice Address |
900 E La Harpe Kirksville MO 63501-4520 |
Practice Telephone | 6606651962 |
Practice Fax Number | 6606653989 |
Mailing Telephone | 6606651962 |
Mailing Fax Number | 6606653989 |
Enumeration Date | 2011-11-30 |
Last Update Date | 2011-11-30 |
Authorized Official Name | KIM DOERGE (MANAGED CARE DIRECTOR) |
Authorized Official Telephone | 6603415042 |
Authorized Official Credential | MSW, LCSW |
Is Organization Subpart | Y |
Parent Organization Name | PREFERRED FAMILY HEALTHCARE, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
6300-11443 | MO | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 266730506 | 05 |
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 |
900 E LA HARPE |
City | KIRKSVILLE |
State | MO |
Zip Code | 63501-4520 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
1497069694 | Ella Marie Callison | Physician Assistant | 1611 S Baltimore St Ste A, Kirksville, MO 63501 | 2010-07-29 |
Find all providers in zip 63501 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013063486 | Preferred Family Healthcare, Inc. | Clinic/Center | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2007-01-26 |
1083068191 | Preferred Family Healthcare, Inc. | Clinic/Center | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2016-04-15 |
1992094601 | Preferred Family Healthcare, Inc. | Clinic/Center | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2011-04-04 |
1801929708 | Preferred Family Healthcare | Clinic/Center | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2007-03-13 |
1609909506 | Preferred Family Healthcare | Clinic/Center | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2007-03-13 |
1336284447 | Preferred Family Healthcare, Inc | Clinic/Center | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2007-02-20 |
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---|---|---|---|---|
1700484599 | Institute of Intrapersonal Development, LLC | Clinic/Center | 1872 Woodhollow Drive, Apt. 211, Maryland Heights, MO 63043-3957 | 2020-10-13 |
1740813096 | Hotel California By The Sea St. Louis, LLC | Clinic/Center | 333 S Kirkwood Rd Ste 303, Kirkwood, MO 63122-6161 | 2020-02-14 |
1659832079 | Metro Neurohealth LLC | Clinic/Center | 3641 Meadowglen Ct, Saint Charles, MO 63303-6678 | 2019-03-28 |
1013472703 | Teresa L Deshields Phd LLC | Clinic/Center | 225 S Meramec Ave Ste 432t, Clayton, MO 63105-3597 | 2019-02-06 |
1497226328 | Butler Psychological Services, LLC | Clinic/Center | 13532 Lawrence 1127, Mount Vernon, MO 65712-7504 | 2018-12-17 |
1710425236 | Beaconstar Counseling, LLC | Clinic/Center | 3032 S Fremont Ave, Suite C200, Springfield, MO 65804-4210 | 2017-02-03 |
1689111379 | Mindfully Whole Psychotherapy LLC | Clinic/Center | 4057 W Ildereen St, Springfield, MO 65807-1063 | 2017-01-19 |
1760839260 | Independence Center | Clinic/Center | 4245 Forest Park Ave, Saint Louis, MO 63108-2810 | 2016-05-16 |
1912361627 | New Horizons Community Support Services, Inc. | Clinic/Center | 2013 William St, Jefferson City, MO 65109-4771 | 2016-04-08 |
1780069161 | Iqbal Psychiatry | Clinic/Center | 1015 Grupp Rd Unit 31035, Saint Louis, MO 63131-5002 | 2015-07-27 |
Find all providers with the same taxonomy |
City | KIRKSVILLE |
Zip Code | 63501 |
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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.