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CHC26512-07 PREFERRED FAMILY HEALTHCARE, INCORPORATED (Terminated)
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Main Details
Name
PREFERRED FAMILY HEALTHCARE, INCORPORATED
Subdivision Name
Clarity Healthcare
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024837
340B ID
CHC26512-07
Grant Number
H80CS26512
Additional Details
Current Program Status
Terminated
Registration Date
4/14/2020
Participating Start Date
7/1/2020
Participating Approval Date
4/28/2020
Last Recertification Date
2/5/2024
Termination Date
Termination Reason
4/1/2025
Business decision by the Covered Entity
Contacts
Authorizing Official
Preferred Family Healthcare
Mark Conover, Chief Revenue Officer
(573) 353-0014
Primary Contact
Preferred Family Healthcare, Inc
Naomi Scott, Executive VP of Organizational Affairs
(660) 665-1962
Addresses
Street Address
655 Clinic Rd
Hannibal, MO 63401-3647
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
May 2025
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