CENTRAL CARE, PA (NPI# 1437424017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437424017 |
| Entity Type | Organization |
| Organization Name | CENTRAL CARE, PA |
| Other Organization Name | CENTRAL CARE CANCER CENTER |
| Practice Address |
1401 W 12th Ave Emporia KS 66801-2570 |
| Mailing Address |
Po Box 256 Salina KS 67402-0256 |
| Practice Telephone | 6203421117 |
| Practice Fax Number | 6203421185 |
| Mailing Telephone | 7858230633 |
| Mailing Fax Number | 8448544662 |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2020-02-13 |
| 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 |
|---|---|---|---|
| KS | 100143020C | 05 | |
| OK | 200480600D | 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 |
1401 W 12TH AVE |
| City | EMPORIA |
| State | KS |
| Zip Code | 66801-2570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134180904 | Chester W Stone | Internal Medicine | 1401 W 12th Ave, Emporia, KS 66801 | 2006-03-31 |
| 1770102402 | Central Care, Pa | Non-Pharmacy Dispensing Site | 1401 W 12th Ave, Emporia, KS 66801-2570 | 2020-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539141 | Tina Marie Andrade | Counselor | 1500 Graphic Arts Road, Emporia, KS 66801 | 2018-02-26 |
| 1669918637 | Paden Bradley Eveland | Physical Medicine & Rehabilitation | 1 Kellogg Circle Emporia State University, Emporia, KS 66801 | 2017-01-13 |
| 1932501467 | Emily Prouse | Dietitian, Registered | 1 Kellogg Circle 250 Se Morse Hall, Emporia, KS 66801 | 2014-09-16 |
| 1407278112 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1215 Merchant St, Emporia, KS 66801 | 2014-01-15 |
| 1508105800 | Smith Agency LLC | In Home Supportive Care | 4245 W. Hwy 50, Emporia, KS 66801 | 2013-02-06 |
| 1891060919 | Gould Coates Garcia | Internal Medicine | 2014 Canterbury Rd, Emporia, KS 66801 | 2012-03-22 |
| 1457511321 | Amanda Lee Ruxton | Family Medicine | 1301 W 12th Ave Ste 101, Emporia, KS 66801 | 2008-06-13 |
| 1821262049 | Qi Qiao Joina Wu | Counselor | 115 West 5th Street, Emporia, KS 66801 | 2008-04-18 |
| 1013189703 | Kelly Elizabeth Long | Counselor | 115 W 5th, Emporia, KS 66801 | 2008-04-02 |
| 1851586275 | Hyun Chan Shin | Counselor | 115 5th Ave, Emporia, KS 66801 | 2007-09-10 |
| Find all providers in zip 66801 | ||||
| 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 |
|---|---|---|---|---|
| 1114037322 | Emporia Head Neck P.a. | Specialist | 1130 Chestnut St, Emporia, KS 66801-2549 | 2006-08-30 |
| 1225001019 | Michael Dean Yost | Specialist | 1301 W 12th Ave Ste 105, Emporia, KS 66801-2588 | 2006-02-10 |
| 1760486526 | Michael George Reynolds | Specialist | 1602 W 15th Ave, Ste B, Emporia, KS 66801-5672 | 2005-06-09 |
| 1477557247 | Wayne Leroy Anliker | Specialist | 1602 W 15th Ave, Ste B, Emporia, KS 66801-5672 | 2005-06-09 |
| 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.