CENTRAL CARE, PA (NPI# 1245576909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245576909 |
| Entity Type | Organization |
| Organization Name | CENTRAL CARE, PA |
| Other Organization Name | CENTRAL CARE CANCER CENTER |
| Practice Address |
305 W 15th St Suite 203 Liberal KS 67901-2455 |
| Mailing Address |
Po Box 256 Salina KS 67402-0256 |
| Practice Telephone | 6206244700 |
| Practice Fax Number | 8882353625 |
| Mailing Telephone | 7858230633 |
| Mailing Fax Number | 8448544662 |
| Enumeration Date | 2012-12-27 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10026517302 | 05 | |
| OK | 200480600B | 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 |
305 W 15TH ST SUITE 203 |
| City | LIBERAL |
| State | KS |
| Zip Code | 67901-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891743845 | Lamberto Opulencia Flores | Obstetrics & Gynecology | 305 W 15th St, Ste 104, Liberal, KS 67901-2455 | 2006-05-04 |
| 1710370697 | Jennifer Lynn Antrim | Nurse Practitioner | 305 W 15th St, Suite 103, Liberal, KS 67901-2455 | 2015-03-16 |
| 1962847871 | Fadi A Darwiche | Urology | 305 W 15th St, Ste 102, Liberal, KS 67901-2455 | 2013-05-06 |
| 1700148442 | Liberal Family Medicine, LLC | Family Medicine | 305 W 15th St, Suite 103, Liberal, KS 67901 | 2012-06-08 |
| 1427285311 | Imudia Dekonte Ehanire | Surgery | 305 W 15th St, Ste 204, Liberal, KS 67901-2455 | 2009-06-17 |
| 1144493040 | Southwest Medical Center | Surgery | 305 W 15th St, Liberal, KS 67901-2455 | 2008-04-11 |
| 1083793087 | Jose A. Maeda | Surgery | 305 W 15th St, Suite 204, Liberal, KS 67901-2455 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104264803 | Juanita Elise Monroe | Registered Nurse | 515 4th St, Liberal, KS 67901 | 2013-06-05 |
| 1588917454 | Liberal Diagnostics, LLC | Clinic/Center | 23 Professional Drive, Liberal, KS 67901 | 2012-10-17 |
| 1598091001 | Sunflower Pediatrics | Pediatrics | 2132 N. Kansas Ave, Ste B, Liberal, KS 67901 | 2009-10-19 |
| 1477780955 | Southwest Medical Center | Clinic/Center | 1411 W. 15th Street, Ste. 102, Liberal, KS 67901 | 2009-06-11 |
| 1336375104 | Nchang Mantoh Azefor | Surgery | 305 W 15th St Ste 204, Liberal, KS 67901 | 2009-06-06 |
| 1114152121 | Firas I. Kawtharani | Orthopaedic Surgery | 305 W 15th St Ste 101, Liberal, KS 67901 | 2009-05-19 |
| 1871613067 | William (bill) Joseph Michael Settle | Anesthesiology | 2132 N Kansas Avenue, Suite C, Liberal, KS 67901 | 2007-03-30 |
| 1851430532 | Bruce W Jackson | Dentist | 111 Lilac Dr, Liberal, KS 67901 | 2007-02-06 |
| 1376637058 | Dr. Peter Lee D.o. | Clinic/Center | 23 East 11th, Liberal, KS 67901 | 2006-10-03 |
| 1568574002 | Terry Dee Romans | Dentist | 2110 N Grant, Liberal, KS 67901 | 2006-08-31 |
| Find all providers in zip 67901 | ||||
| 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 |
|---|---|---|---|---|
| 1710593215 | Latricia Renee Anderson | Specialist | 420 Se 29th St Ste B, Topeka, KS 66605-1191 | 2020-09-20 |
| 1275158537 | Casey M Emmerich | Specialist | 401 Arkansas St, Lawrence, KS 66044-1338 | 2020-06-12 |
| 1104475664 | Intangible Inches, LLC | Specialist | 13849 S Mur Len Rd Ste J, Olathe, KS 66062-1664 | 2019-09-08 |
| 1811455561 | Vordis Behavioral Health | Specialist | 8014 State Line Rd Ste 100, Prairie Village, KS 66208-3712 | 2019-03-12 |
| 1518409986 | Francis Leo Heisinger | Specialist | 12051 S Summit St, Olathe, KS 66062-4931 | 2016-11-16 |
| 1821530023 | Abby Henson | Specialist | 530 E Cheyenne St, Gardner, KS 66030-8409 | 2016-11-06 |
| 1811447048 | Kansas University Physicians, Inc. | Specialist | 7420 Switzer St, Shawnee, KS 66203-4550 | 2016-10-12 |
| 1639628829 | Tierra Lakes Medical Group, LLC | Specialist | 4969 N Tierra Lakes Pkwy, Bel Aire, KS 67226-3345 | 2016-09-28 |
| 1265980858 | Bobby Ballesteros | Specialist | 14614 S Brougham Dr, Olathe, KS 66062-2595 | 2016-09-13 |
| 1235684754 | John Lee Andres | Specialist | 1205 S 1st St, Hiawatha, KS 66434-2730 | 2016-08-25 |
| Find all providers with the same taxonomy | ||||
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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.