Organization · Type 2 NPI
Central Care PA
Non-Pharmacy Dispensing Site · Bolivar, MO
NPI number
1316372154
Active
Practice location
1501 N Oakland Ave
Bolivar, MO 65613-3020
Fax (417) 326-7201
Mailing address
PO Box 256
Salina, KS 67402-0256
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Oncology Physician | 207RX0202X | None listed |
| Radiation Oncology Physician | 2085R0001X | None listed |
| Non-Pharmacy Dispensing Site Primary | 332900000X | 002905 (MO) |
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.)
12 other providers at this address
- Central Care, PASpecialist Bolivar, MO NPI 1942575527
- Citizens Memorial Healthcare FoundationDurable Medical Equipment & Medical Supplies Bolivar, MO NPI 1710427612
- Anjali M. Edson, P.A.Physician Assistant Bolivar, MO NPI 1417202425
- Bailey D. Shunyakov, APRN, NP-CFamily Nurse Practitioner Bolivar, MO NPI 1912560038
- Bethany M. Martin, FNP-CFamily Nurse Practitioner Bolivar, MO NPI 1750999231
- Chengjie Zhao Rude, APRN, FNP-BCFamily Nurse Practitioner Bolivar, MO NPI 1194659920
- Garry J. Brown, DORadiation Oncology Physician Bolivar, MO NPI 1043366925
- Gina Nicole Viser, FNP-CFamily Nurse Practitioner Bolivar, MO NPI 1316495492
- Jennifer A. Bushre, APRN, NPFamily Nurse Practitioner Bolivar, MO NPI 1811712623
- Kayla Simmons, FNP-CFamily Nurse Practitioner Bolivar, MO NPI 1992600423
- Leonid Shunyakov, MDMedical Oncology Physician Bolivar, MO NPI 1396709895
- Penelope Jane Harris, MDHematology & Oncology Physician Bolivar, MO NPI 1154389260
About NPI 1316372154
Central Care PA's National Provider Identifier is 1316372154, issued on Sep 12, 2013. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Bolivar, MO. The record was last updated on Apr 2, 2024.