NPIMap

Organization Active NPI

Central Care, PA

  • Non-Pharmacy Dispensing Site
  • Dodge City, KS
National Provider Identifier
1962021691
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
CENTRAL CARE, PA
Practice address
112 W Ross Blvd
Dodge City, KS 67801-7219
Phone
(620) 371-7200
Fax
(888) 235-4591
NPI assigned
Apr 13, 2020
Organization subpart
No

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
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RX0202X
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

112 W Ross Blvd
Dodge City, KS 67801-7219

Mailing address

2337 E Crawford St
Salina, KS 67401-3713
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

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": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1962021691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 E CRAWFORD ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013713",
            "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": "112 W ROSS BLVD",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678017219",
            "telephone_number": "620-371-7200",
            "fax_number": "888-235-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "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": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dodge City, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.