CENTRAL CARE, PA (NPI# 1063750677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063750677 |
| Entity Type | Organization |
| Organization Name | CENTRAL CARE, PA |
| Other Organization Name | CENTRAL CARE CANCER CENTER |
| Practice Address |
3625 Quail Ridge Rd Winfield KS 67156-8881 |
| Mailing Address |
Po Box 256 Salina KS 67402-0256 |
| Practice Telephone | 6202216100 |
| Practice Fax Number | 8553554059 |
| Mailing Telephone | 7858230633 |
| Mailing Fax Number | 8448544662 |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2017-04-20 |
| Authorized Official Name | STACY CLOYD (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7858230633 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL CARE, PA |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200480600E | 05 | |
| KS | 100143020C | 05 |
| Other Name | Type Code |
|---|---|
| Central Care Cancer Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778228 | Central Care, Pa | Radiology | 1004 Carondelet Dr Ste 410, Kansas City, MO 64114-4801 | 2020-10-23 |
| 1174143309 | Central Care, Pa | Pharmacy | 8919 Parallel Pkwy Ste 250, Kansas City, KS 66112-1655 | 2020-04-17 |
| 1578532081 | Central Care, Pa | Internal Medicine | 2337 E Crawford St, Salina, KS 67401 | 2006-03-16 |
| 1891314456 | Central Care, Pa | Non-Pharmacy Dispensing Site | 204 Cleveland St, Great Bend, KS 67530-3563 | 2020-04-14 |
| 1346869088 | Central Care, Pa | Non-Pharmacy Dispensing Site | 305 W 15th St Ste 203, Liberal, KS 67901-2455 | 2020-04-13 |
| 1770102402 | Central Care, Pa | Non-Pharmacy Dispensing Site | 1401 W 12th Ave, Emporia, KS 66801-2570 | 2020-04-13 |
| 1124647847 | Central Care, Pa | Non-Pharmacy Dispensing Site | 730 Medical Center Dr, Newton, KS 67114-8778 | 2020-04-13 |
| 1346869070 | Central Care, Pa | Non-Pharmacy Dispensing Site | 9300 E 29th St N Ste 315, Wichita, KS 67226-2184 | 2020-04-13 |
| 1962021691 | Central Care, Pa | Non-Pharmacy Dispensing Site | 112 W Ross Blvd, Dodge City, KS 67801-7219 | 2020-04-13 |
| 1033738760 | Central Care, Pa | Non-Pharmacy Dispensing Site | 410 E Spruce St, Garden City, KS 67846-5659 | 2020-04-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Central Care, PA | 2337 E Crawford St, Po Box 256, Salida, KS 67402-0256 |
| Street Address |
3625 QUAIL RIDGE RD |
| City | WINFIELD |
| State | KS |
| Zip Code | 67156-8881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528052297 | Chandy C Samuel | Family Medicine | 3625 Quail Ridge Rd, Winfield, KS 67156-8881 | 2005-09-08 |
| 1962947952 | South Central Kansas Regional Medical Center | Clinic/Center | 3625 Quail Ridge Rd, Winfield, KS 67156-8881 | 2016-12-29 |
| 1558673970 | Lab One LLC | Clinical Medical Laboratory | 3625 Quail Ridge Rd, Winfield, KS 67156-8881 | 2010-07-14 |
| 1679808596 | Ashley N. Winblad | Nurse Practitioner | 3625 Quail Ridge Rd, Winfield, KS 67156-8881 | 2009-10-09 |
| 1073555470 | Jane L. Kaufman | Nurse Practitioner | 3625 Quail Ridge Rd, Winfield, KS 67156-8881 | 2006-06-11 |
| 1265419535 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3625 Quail Ridge Rd, Winfield, KS 67156-8881 | 2005-12-28 |
| 1295720654 | Winfield Medical Arts P A | Family Medicine | 3625 Quail Ridge Rd, Winfield, KS 67156-8881 | 2005-09-13 |
| 1265426746 | John Mark Winblad | Family Medicine | 3625 Quail Ridge Rd, Winfield, KS 67156-8881 | 2005-09-09 |
| 1326032095 | Anand N Kaul | Internal Medicine | 3625 Quail Ridge Rd, Winfield, KS 67156-8881 | 2005-09-08 |
| 1497749170 | Tirzah R Rice | Physician Assistant | 3625 Quail Ridge Rd, Winfield, KS 67156-8881 | 2005-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992341952 | Annette Dannielle Reyes | Occupational Therapy Assistant | 1220 Ww II Memorial Dr, Winfield, KS 67156 | 2019-11-25 |
| 1902442247 | Sydney Dinicola | Speech-Language Pathologist | 1220 Ww II Memorial Dr, Winfield, KS 67156 | 2019-11-21 |
| 1669028973 | Kristina K Morin | Physical Therapy Assistant | 1309 E 19th Avenue, Winfield, KS 67156 | 2019-08-13 |
| 1952955817 | Advanced Pt, LLC | Occupational Therapist | 1309 E. 19th Avenue, Winfield, KS 67156 | 2019-07-30 |
| 1144701194 | Ana Liza Scully-skinner | Marriage & Family Therapist | 22214 D Street, Strother Field, Winfield, KS 67156 | 2018-08-28 |
| 1912437427 | Health Center Pharmacy Inc | Pharmacy | 722 Wheat Road, Winfield, KS 67156 | 2017-06-16 |
| 1942556824 | Leland Ray Kaufman | General Practice | 1500 E. 10th, Bldg B/2, Winfield, KS 67156 | 2012-07-30 |
| 1750691473 | Jessica Rachel Calvert | Social Worker | 121 College Ave., Winfield, KS 67156 | 2010-10-15 |
| 1619122686 | Cheryl Walsh Pickering | Social Worker | 22214 D. St, Strotherfield, Winfield, KS 67156 | 2008-11-18 |
| 1417122706 | Klas Daniel Miller | Obstetrics & Gynecology | 1230 E. Sixth Ave, Suite 2d, Winfield, KS 67156 | 2008-04-28 |
| Find all providers in zip 67156 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114282589 | Jayne Ann Watters | Specialist | 22215 Tupper St, Suite B, Winfield, KS 67156-7326 | 2012-07-11 |
| 1639314818 | Christy Jividen Hunter | Specialist | 115 Jericho Rd, Winfield, WV 25213-9438 | 2008-12-02 |
| 1487816922 | Rosa of Northern Illinois, LLC | Specialist | 0n126 Winfield Road, Winfield, IL 60190-1020 | 2008-06-26 |
| 1053450411 | Harry Nelson | Specialist | 27 W 756 Shady Way, Winfield, IL 60190-1956 | 2007-02-05 |
| 1417972175 | John P. Plante | Specialist | 0n025 Winfield Rd Ste 407, Winfield, IL 60190-1237 | 2006-07-13 |
| 1609819820 | John Boudeman | Specialist | 0n025 Winfield Road, Winfield, IL 60190 | 2006-06-14 |
| 1871592550 | Joshua Blaine Pitts | Specialist | 22215 Tupper Street, Suite B, Winfield, KS 67156-1163 | 2005-07-15 |
| 1861499832 | John P Waldo | Specialist | 1530 Us Highway 43, Winfield, AL 35594-5056 | 2005-07-05 |
| 1902135668 | Farah Diba Ciftci | Specialist | 25 N Winfield Rd, Winfield, IL 60190-1295 | 2009-12-09 |
| 1891943619 | Isis M Duran | Specialist | 25 N. Winfield Rd., Winfield, IL 60190-1295 | 2008-09-04 |
| Find all providers in WINFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.