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Contact Information

CENTRAL CARE PA
3550 S 4TH ST STE 282
LEAVENWORTH, KS66048-5160
 Phone: 913-318-7821
 Fax: 833-834-7630
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Oncology, Radiation

261QX0203X
Indicates primary specialty

NPI Profile & details for CENTRAL CARE PA

NPI # 1487253050
LBN Legal business name CENTRAL CARE PA
Authorized official STACY CLOYD - (PROVIDER ENROLLMENT SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2020
Last updated 10/23/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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