Central Care, PA

NPI #1245576909 in Liberal, Kansas

Provider Information

NPI Number: 1245576909
Entity Type: Organization
Organization Name: Central Care, PA
Subpart: Yes (part of a larger organization)
Parent Organization: CENTRAL CARE, PA
Primary Specialty: Specialist
Enumeration Date: Dec 27, 2012
Last Updated: Apr 20, 2017

Practice Location

Address: 305 W 15TH ST
Address 2: SUITE 203
City: Liberal
State: Kansas
ZIP Code: 67901-2455
Phone: (620) 624-4700

Authorized Official

Name: STACY CLOYD
Title: CREDENTIALING MANAGER
Phone: (785) 823-0633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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