NPIMap

Organization Active NPI

Central Care, PA

Doing business as Central Care Cancer Center

  • Specialist
  • Springfield, MO
National Provider Identifier
1104192749
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
002905 Issued in MO
Legal business name
CENTRAL CARE, PA
Doing business as
Central Care Cancer Center
Practice address
2828 N National Ave
Suite a
Springfield, MO 65803-4306
Phone
(417) 875-4600
Fax
(417) 875-4700
NPI assigned
Mar 28, 2012
Last updated
Feb 26, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL CARE, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wendy J Leith
Title
Director of Billing
Phone
(785) 823-0633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 002905 MO Primary

Addresses

Primary practice location

2828 N National Ave
Suite a
Springfield, MO 65803-4306

Mailing address

PO Box 256
Salina, KS 67402-0256
Phone (785) 823-0633

Other names 1

  • CENTRAL CARE CANCER CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Invalid Entry20 organizations share this tax ID, including this one
Part of
Invalid Entry

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1104192749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 256",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674020256",
            "telephone_number": "785-823-0633",
            "fax_number": "785-823-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 N NATIONAL AVE",
            "address_2": "SUITE A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658034306",
            "telephone_number": "417-875-4600",
            "fax_number": "417-875-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CARE, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL CARE, PA",
        "enumeration_date": "2012-03-28",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "LEITH",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "785-823-0633"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "002905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL CARE CANCER CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.