Organization Name: | CENTRAL CARE PA |
NPI Number: | 1245576909 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WENDY LEITH (DIRECTOR OF BILLING) |
Mailing Address: | 315 W 15th St Suite 203 Liberal |
State: | KS US |
Postal Code: | 679012455 |
Phone Number: | 6206244700 |
Fax Number: | 9135351424 |
NPI Enumeration Date: | 12/27/2012 |
NPI Last Update Date: | 05/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0434793 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |