Central Care, PA

NPI #1942575527 in Bolivar, Missouri

Provider Information

NPI Number: 1942575527
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: Mar 15, 2012
Last Updated: Apr 2, 2024

Practice Location

Address: 1501 N OAKLAND AVE
City: Bolivar
State: Missouri
ZIP Code: 65613-3020
Phone: (417) 326-7200

Authorized Official

Name: CANDICE EVANS
Title: CREDENTIALING
Phone: (620) 603-8846

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Medical Oncology — Medical Oncology	207RX0202X
Radiology - Radiation Oncology — Radiation Oncology	2085R0001X
Specialist	174400000X	Primary

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