Organization
CENTRAL CARE, PA
Active
Parent organization
CENTRAL CARE, PA
Other names
Central Care Cancer Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL CARE, PA
Authorized official
CANDICE EVANS (CREDENTIALING)
(620) 603-8846
Entity
Organization
Contact information
Practice address
410 E SPRUCE ST, GARDEN CITY, KS 67846-5659
(620) 272-2579
(620) 272-2685
Mailing address
PO BOX 256, SALINA, KS 67402-0256
(785) 823-0633
(844) 854-4662
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100143020C
—
KS
05
—
10026517301
—
NE
05
—
200480600A
—
OK
Enumeration date
03/28/2012
Last updated
04/02/2024
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