CENTRAL CARE CANCER CENTER
NPI 1316372154
Non-Pharmacy Dispensing Site in Bolivar, MO

Q: What is Central Care PA's NPI number?

The NPI number for Central Care PA is 1316372154. It was assigned to this organization in the NPPES registry on September 12, 2013. The provider is doing business as Central Care Cancer Center.

Q: What is Central Care PA's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Q: When was this NPI record last updated?

The NPPES record for Central Care PA was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 12, 2013

1501 N OAKLAND AVE, BOLIVAR, MO 65613(417) 326-7200(417) 326-7201 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Central Care Cancer Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL CARE CANCER CENTER (NPI 1316372154) is a healthcare organization registered as a non-pharmacy dispensing site in Bolivar, Missouri and active in the NPI registry since September 2013. The organization lists Candice Evans, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1316372154

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameCENTRAL CARE PA

Location Address1501 N OAKLAND AVEBolivar, MO 65613-3020

Mailing AddressPo Box 256Salina, KS 67402-0256 · (785) 823-0633 · Fax (785) 823-0658

Phone(417) 326-7200

Fax(417) 326-7201

Organization SubpartNo

Authorized OfficialCandice EvansCredentialing · (620) 603-8846

Enumeration DateSeptember 12, 2013

Last NPPES UpdateApril 2, 2024

NPPES CertifiedApril 2, 2024

✔ NPI 1316372154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in MO · 002905

Definition

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.)

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X

Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X

1501 N OAKLAND AVE, Bolivar, MO 65613

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Other Names 1

Doing Business AsCentral Care Cancer Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARRY J BROWN DO

Radiology (Radiation Oncology)