National Provider Identifier Database

CENTRAL CARE PA
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

CENTRAL CARE, PA
1401 W 12TH AVE
EMPORIA, KS66801-2570
Phone: 620-342-1117
Fax: 620-342-1185
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Medical Oncology 207RX0202X
Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for CENTRAL CARE, PA

NPI Number 1437424017
Legal business name
LBN
CENTRAL CARE, PA
Authorized official CANDICE EVANS - (CREDENTIALING)
Entity Organization
Organization subpart Yes
Enumeration date 03/15/2012
Last updated 04/02/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • KS Medicaid: 100143020C
  • OK Medicaid: 200480600D

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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