NPIMap

Organization Active NPI

Central Care, PA

Doing business as Central Care Cancer Center

  • Specialist
  • Bolivar, MO
National Provider Identifier
1942575527
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
1501 N Oakland Ave
Bolivar, MO 65613-3020
Phone
(417) 326-7200
Fax
(417) 326-7201
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 Primary
Medical Oncology Physician 207RX0202X
Radiation Oncology Physician 2085R0001X

Addresses

Primary practice location

1501 N Oakland Ave
Bolivar, MO 65613-3020

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
507606309MedicaidMO

Other names 1

  • Central Care Cancer Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Claudia Perez Tamayo MD20 organizations share this tax ID, including this one
Part of
Claudia Perez Tamayo MD

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": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1942575527",
    "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": "1501 N OAKLAND AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656133020",
            "telephone_number": "417-326-7200",
            "fax_number": "417-326-7201"
        }
    ],
    "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": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507606309",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Care Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bolivar, MO

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.