| Preferred Family Healthcare, Inc. | |
|
3557 Stardust Dr Hannibal MO 63401-6224 | |
| (573) 603-1460 | |
| Not Available |
| Full Name | Preferred Family Healthcare, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3557 Stardust Dr, Hannibal, Missouri |
| Authorized Official Name and Position | Mark Conover (CHIEF REVENUE OFFICER) |
| Authorized Official Contact | 5736031460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preferred Family Healthcare, Inc. 1601 Old South River Rd Saint Charles MO 63303-4120 Ph: (636) 224-1210 | Preferred Family Healthcare, Inc. 3557 Stardust Dr Hannibal MO 63401-6224 Ph: (573) 603-1460 |
| NPI Number | 1790373850 |
|---|---|
| Provider Enumeration Date | 01/05/2021 |
| Last Update Date | 07/29/2022 |
| Medicare PECOS PAC ID | 0244256246 |
|---|---|
| Medicare Enrollment ID | O20221220001772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790373850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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