Organization
CENTRAL CARE, PA
Active
Other names
Central Care Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
STACY CLOYD (PROVIDER ENROLLMENT SPECIALIST)
(785) 823-0633
Entity
Organization
Contact information
Practice address
1004 CARONDELET DR STE 410, KANSAS CITY, MO 64114-4801
(785) 823-0633
(833) 734-1556
Mailing address
2337 E CRAWFORD ST, SALINA, KS 67401-3713
(785) 823-0633
(785) 823-0658
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
—
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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