# CENTRAL CARE PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CENTRAL CARE CANCER CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922340223
- **Authorized official:** CANDICE EVANS (CREDENTIALING)
- **Authorized official phone:** (620) 603-8846

## Contact information

- **Practice address:** 204 CLEVELAND ST, GREAT BEND, KS 67530-3563
- **Practice address phone:** (620) 792-5511
- **Practice address fax:** (620) 792-5977
- **Mailing address:** PO BOX 256, SALINA, KS 67402-0256
- **Mailing address phone:** (785) 823-0633
- **Mailing address fax:** (785) 823-0658

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RX0202X | Medical Oncology Physician | — | NULL | — |
| 207RX0202X | Medical Oncology Physician | — | — | — |
| 2085R0001X | Radiation Oncology Physician | — | NULL | — |
| 2085R0001X | Radiation Oncology Physician | — | — | — |
| 332900000X | Non-Pharmacy Dispensing Site | 0424425 | KS | Yes |

## Other

- **Enumeration date:** 03/25/2013
- **Last updated:** 04/02/2024