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
8929 PARALLEL PKWY STE G, KANSAS CITY, KS 66112-1689
(913) 318-7821
(833) 834-7630
Mailing address
PO BOX 256, SALINA, KS 67402-0256
(785) 823-0633
(844) 854-4662
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
01/23/2020
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