NPIMap

Organization Active NPI

Central Care, PA

Doing business as Central Care Cancer Center

  • Specialist
  • Emporia, KS
National Provider Identifier
1437424017
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CENTRAL CARE, PA
Doing business as
Central Care Cancer Center
Practice address
1401 W 12TH Ave
Emporia, KS 66801-2570
Phone
(620) 342-1117
Fax
(620) 342-1185
NPI assigned
Mar 15, 2012
Last updated
Apr 2, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL CARE, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Candice Evans
Title
Credentialing
Phone
(620) 603-8846

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary
Medical Oncology Physician 207RX0202X NU
Radiation Oncology Physician 2085R0001X NU

Addresses

Primary practice location

1401 W 12TH Ave
Emporia, KS 66801-2570

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
200480600DMedicaidOK
100143020CMedicaidKS

Other names 1

  • Central Care Cancer Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000823 KS Part B Supplier - Clinic/Group Practice 7911801014 Receives reassigned benefits from 11 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Scott City, KS; Salina, KS; Newton, KS; Garden City, KS; Emporia, KS; El Dorado, KS; Great Bend, KS

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1437424017",
    "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": "844-854-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W 12TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012570",
            "telephone_number": "620-342-1117",
            "fax_number": "620-342-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CARE, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL CARE, PA",
        "enumeration_date": "2012-03-15",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "620-603-8846"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200480600D",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100143020C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Care Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Care Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Emporia, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.