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PREFERRED FAMILY HEALTHCARE NPI 1851779714


NPI Information

NPI: 1851779714
Provider Name: PREFERRED FAMILY HEALTHCARE
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 26D2042799

Address:
2411 W CATALPA ST
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 862-3455
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PREFERRED FAMILY HEALTHCARE is a substance abuse rehabilitation facility in Springfield, MO. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PREFERRED FAMILY HEALTHCARE NPI is 1851779714. The provider is registered as an organization entity type.

The provider's business location address is:

2411 W CATALPA ST
SPRINGFIELD, MO
ZIP 65807-123
Phone: (417) 862-3455

The provider's authorized official is Mark Conover .
The authorized official title is Chief Revenue Officer and has the following contact phone number (573) 603-1460.

The CLIA number assigned to this NPI record is 26D2042799 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2015 and was last updated on 7/29/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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