# CENTRAL CARE, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Care Cancer Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346869088
- **Authorized official:** STACY CLOYD (PROVIDER ENROLLMENT SPECIALIST)
- **Authorized official phone:** (785) 823-0633

## Contact information

- **Practice address:** 305 W 15TH ST STE 203, LIBERAL, KS 67901-2455
- **Practice address phone:** (620) 624-4700
- **Practice address fax:** (888) 235-3625
- **Mailing address:** 2337 E CRAWFORD ST, SALINA, KS 67401-3713
- **Mailing address phone:** (785) 823-0633
- **Mailing address fax:** (844) 854-4662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 04/13/2020
- **Last updated:** 04/13/2020