CENTRAL CARE, PA (NPI# 1891314456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891314456 |
| Entity Type | Organization |
| Organization Name | CENTRAL CARE, PA |
| Practice Address |
204 Cleveland St Great Bend KS 67530-3563 |
| Mailing Address |
2337 E Crawford St Salina KS 67401-3713 |
| Practice Telephone | 6207925511 |
| Practice Fax Number | 6207925977 |
| Mailing Telephone | 7858230633 |
| Mailing Fax Number | 8448544662 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | STACY CLOYD (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 7858230633 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| 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 |
| 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 |
| 1891335873 | Central Care, Pa | Internal Medicine | 8929 Parallel Pkwy Ste G, Kansas City, KS 66112-1689 | 2020-01-08 |
| Street Address |
204 CLEVELAND ST |
| City | GREAT BEND |
| State | KS |
| Zip Code | 67530-3563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639149545 | Mark Fesen | Internal Medicine | 204 Cleveland St, Great Bend, KS 67530-3563 | 2006-01-24 |
| 1518388420 | Heartland Oncology, LLC | Radiology | 204 Cleveland St, Great Bend, KS 67530-3563 | 2013-12-18 |
| 1922340223 | Central Care Pa | Non-Pharmacy Dispensing Site | 204 Cleveland St, Great Bend, KS 67530-3563 | 2013-03-25 |
| 1295000776 | Central Care, Pa | Specialist | 204 Cleveland St, Great Bend, KS 67530-3563 | 2012-03-15 |
| 1730452343 | Central Kansas Medical Center | Clinic/Center | 204 Cleveland St, Great Bend, KS 67530-3563 | 2012-02-13 |
| 1730246463 | Thomas John Hegarty | Radiology | 204 Cleveland St, Great Bend, KS 67530-3563 | 2007-01-02 |
| 1801869672 | Lori M. Williams | Physician Assistant | 204 Cleveland St, Great Bend, KS 67530-3563 | 2006-02-10 |
| 1336119056 | Julie K West | Physician Assistant | 204 Cleveland St, Great Bend, KS 67530 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488048 | Taryn Mitchell | Pharmacist | 3910 10th St, Great Bend, KS 67530 | 2020-08-18 |
| 1972113678 | Sarah Schenek | Counselor | 1819 11th Street, Great Bend, KS 67530 | 2020-08-06 |
| 1407471840 | Joanne Renee Wondra | Counselor | 801 Patton Road, Great Bend, KS 67530 | 2020-06-11 |
| 1144852302 | Rosenberg Dentistry: Joe Rosenberg Dds. Pa | Dentist | 1037 Sheridan Suite D, Great Bend, KS 67530 | 2020-02-06 |
| 1265895908 | Kayti Trapp | Physical Therapy Assistant | 1514 Ks-96 Hwy, Great Bend, KS 67530 | 2016-03-31 |
| 1083732069 | Drew Andrew Hosman Sr. | Counselor | 1105 Main St Ste D, Great Bend, KS 67530 | 2007-03-27 |
| 1912060435 | Larry G Kutina | Dentist | 3820 6th Street, Great Bend, KS 67530 | 2006-12-18 |
| 1144308883 | Hcc-healthcare of Great Bend, LLC | Skilled Nursing Facility | 1560 K96 Highway, Great Bend, KS 67530 | 2006-11-01 |
| 1841370699 | Edward Lake Jones | Pathology | 2001 Lincoln, Great Bend, KS 67530 | 2006-10-16 |
| 1407955529 | William G Hafner | Chiropractor | 1309 Williams St., Great Bend, KS 67530 | 2006-09-22 |
| Find all providers in zip 67530 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922340223 | Central Care Pa | Non-Pharmacy Dispensing Site | 204 Cleveland St, Great Bend, KS 67530-3563 | 2013-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043849250 | Ideal Feet Wichita | Non-Pharmacy Dispensing Site | 3236 N Rock Rd Ste 100, Wichita, KS 67226-1359 | 2020-04-08 |
| 1598295545 | Shawnee Mission Medical Center, Inc. | Non-Pharmacy Dispensing Site | 9099 W 135th St, Overland Park, KS 66221-2005 | 2017-06-13 |
| 1265962286 | Shawnee Mission Medical Center, Inc. | Non-Pharmacy Dispensing Site | 14744 W 119th St, Olathe, KS 66062-8602 | 2017-06-13 |
| 1720380587 | Emergent Care Plus | Non-Pharmacy Dispensing Site | 4800 W 135th St, Suite 190, Leawood, KS 66224-8720 | 2010-11-30 |
| 1104075332 | Rlsm, LLC | Non-Pharmacy Dispensing Site | 2407 W 13th St N, Wichita, KS 67203-1930 | 2008-09-11 |
| 1982867230 | Mercy Hospital of Kansas Inc | Non-Pharmacy Dispensing Site | 9th & Main, Pleasanton, KS 66075 | 2008-07-08 |
| 1871789719 | United Methodist Western Kansas Mexican-american Ministries, Inc. | Non-Pharmacy Dispensing Site | 121 West 3rd, Liberal, KS 67901-3218 | 2007-09-24 |
| 1396830980 | Heartland Diabetic Supplies LLC | Non-Pharmacy Dispensing Site | 10703 W. 149th Street, Overland Park, KS 66221 | 2006-10-03 |
| 1730174228 | United Methodist Western Kansas Mexican-american Ministries, Inc. | Non-Pharmacy Dispensing Site | 712a Saint John St, Garden City, KS 67846-5128 | 2005-09-12 |
| 1346869088 | Central Care, Pa | Non-Pharmacy Dispensing Site | 305 W 15th St Ste 203, Liberal, KS 67901-2455 | 2020-04-13 |
| Find all providers with the same taxonomy | ||||
| City | GREAT BEND |
| Zip Code | 67530 |
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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.