NPI 1316372154

Central Care PA

Organisation Non-Pharmacy Dispensing Site Bolivar, MO

Practice location

Address: 1501 N Oakland Ave, Bolivar, MO 65613-3020
Phone: (417) 326-7200
Fax: (417) 326-7201
Mailing address: PO Box 256, Salina, KS 67402-0256

Authorised official

Name: Candice Evans
Title: Credentialing
Phone: (620) 603-8846

Registered specialties (3)

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence 002905 (MO)

Other Non-Pharmacy Dispensing Site providers in Missouri →

Medical Oncology Physician

Allopathic & Osteopathic Physicians Taxonomy 207RX0202X

Other Internal Medicine providers in Missouri →

Radiation Oncology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0001X

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Registry record

NPI: 1316372154
Entity type: Organization
NPI issued: 12 Sep 2013
Record last updated: 2 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.