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Contact Information

CENTRAL CARE, PA
410 E SPRUCE ST
GARDEN CITY, KS67846-5659
 Phone: 620-272-2579
 Fax: 620-272-2685
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for CENTRAL CARE PA · (Female)

NPI Number 1326314923
Status Active
Credentials
Entity Individual
Enumeration date 03/28/2012
Last updated 04/02/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • KS Medicaid 100143020C
  • NE Medicaid 10026517301
  • OK Medicaid 200480600A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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