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Contact Information

CENTRAL CARE, PA
305 W 15TH ST STE 203
LIBERAL, KS67901-2455
 Phone: 620-624-4700
 Fax: 888-235-3625
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CENTRAL CARE, PA

NPI Number 1346869088
LBN Legal business name CENTRAL CARE, PA
Authorized official STACY CLOYD - (PROVIDER ENROLLMENT SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/13/2020
Last updated 04/13/2020 - 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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