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Organization

CENTRAL CARE, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CANDICE EVANS (CREDENTIALING)
(620) 603-8846
Entity
Organization

Contact information

Practice address
2337 E CRAWFORD ST, SALINA, KS 67401
(785) 823-0633
(785) 823-0658
Mailing address
PO BOX 256, 2337 E CRAWFORD ST, SALINA, KS 67401-0256
(785) 823-0633
(785) 823-0658

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
01
CI4966
MEDICARE RAILROAD
KS
Enumeration date
03/16/2006
Last updated
04/02/2024
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