Central Care Cancer Center

LBN: Central Care, Pa
Central Care Cancer Center is an health care organization with primary practice located at 305 W 15Th St Suite 203, Liberal KS 67901-2455. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Central Care, Pa can be contacted via phone (620) 624-4700, or through Cloyd, Stacy via phone (785) 823-0633.

Contact Information

Primary practice address
305 W 15Th St Suite 203 Liberal KS 67901-2455
Phone: (620) 624-4700
Fax: (888) 235-3625
Website:
Map and Directions
Authorized official contact:
Name: Cloyd, Stacy
Phone: (785) 823-0633

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1245576909
LBN Legal business name Central Care, Pa
DBA Doing business as Central Care Cancer Center
Authorized official Cloyd, Stacy
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 27th, 2012
Last updated Apr 20th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245576909 NPPES
Kansas MEDICAID 100143020C
Kansas MEDICAID 10026517302
Kansas MEDICAID 200480600B

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