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Central Care PA — NPI 1316372154, Bolivar, MO | NPI Central

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NPI 1316372154

OrganizationActive

Central Care PA

NPI 1316372154 · Non-Pharmacy Dispensing Site · Bolivar, MO

Provider details

NPI number: 1316372154
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Organization subpart: No
Authorized official: Candice Evans, Credentialing(620) 603-8846

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000XLicense 002905 (MO)
Suppliers
Medical Oncology Physician207RX0202X
Allopathic & Osteopathic Physicians
Radiation Oncology Physician2085R0001X
Allopathic & Osteopathic Physicians

Practice location

1501 N Oakland Ave

Bolivar, MO 65613-3020

Phone: (417) 326-7200

Fax: (417) 326-7201

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

Po Box 256

Salina, KS 67402-0256

Other names (DBA / former)

Doing business as: Central Care Cancer Center

Registry dates

Enumerated: 2013-09-12
Last updated: 2024-04-02
Certified: 2024-04-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.