CENTRAL CARE CANCER CENTER
NPI 1104192749
Specialist in Springfield, MO

Active since March 28, 2012
2828 N NATIONAL AVE, SUITE A, SPRINGFIELD, MO 65803(417) 875-4600(417) 875-4700 Get Directions Write a Review

NPPES record last updated: February 26, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist

About CENTRAL CARE CANCER CENTER

This page provides the complete NPI Profile along with additional information for Central Care Cancer Center, a provider established in Springfield, Missouri operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1104192749 assigned on March 2012. The practitioner's primary taxonomy code is 174400000X with license number 002905 (MO). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Central Care Cancer Center. The authorized official of this NPI record is Wendy J Leith (Director Of Billing)

NPI
1104192749 Verify this NPI
Provider Legal Name
CENTRAL CARE, PA
Other Organization Name
CENTRAL CARE CANCER CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2828 N NATIONAL AVE SUITE A SPRINGFIELD, MO 65803
Location Phone
(417) 875-4600
Location Fax
(417) 875-4700
Mailing Address
PO BOX 256 SALINA, KS 67402
Mailing Phone
(785) 823-0633
Mailing Fax
(785) 823-0658
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-28-2012
Last Update Date
02-26-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
002905
License State
MO
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WENDY J LEITH

Authorized Official Title
DIRECTOR OF BILLING
Authorized Official Phone
(785) 823-0633

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
MA3744MEDICARE PIN (08)MO 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ophthalmology
2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
Nurse Practitioner (Women's Health)
2828 N NATIONAL AVE, DOCTORS HOSPITAL OF SPRINGFIELD, SPECIALTY CLINIC
SPRINGFIELD, MO 65803
Family Medicine
2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
Radiology (Diagnostic Radiology)
2828 N NATIONAL AVE, DEPT. OF RADIOLOGY
SPRINGFIELD, MO 65803
Nurse Practitioner (Family)
2828 N NATIONAL AVE, SUITE K
SPRINGFIELD, MO 65803
Emergency Medicine
2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
Obstetrics & Gynecology
2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
Family Medicine
2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
Ophthalmology
2828 N NATIONAL AVE, SUITE E
SPRINGFIELD, MO 65803
Anesthesiology
2828 N NATIONAL AVE, OZARKS COMMUNITY HOSPITAL
SPRINGFIELD, MO 65803
Pharmacist
2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
Dietitian, Registered
2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
Nurse Practitioner (Family)
2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
Voluntary or Charitable
2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
Psychiatric Hospital
2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
Family Medicine
2828 N NATIONAL AVE, SUITE D
SPRINGFIELD, MO 65803
Social Worker (Clinical)
2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
Podiatrist (Foot & Ankle Surgery)
2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
Psychiatric Hospital
2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
Pharmacy (Long Term Care Pharmacy)
2828 N NATIONAL AVE
SPRINGFIELD, MO 65803

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104192749, enumerated as an "organization" on March 28, 2012.

The provider is located at 2828 N NATIONAL AVE SUITE A SPRINGFIELD, MO 65803 and the phone number is (417) 875-4600.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.