Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Central Care PA

Organization Medical Oncology Physician · NPI 1316372154

Central Care PA is a Medical Oncology Physician in Bolivar, Missouri. Licensed in Missouri. Registered with an NPI since 2013.

Licensed in
MO
In the registry since
2013
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1501 N Oakland Ave
Bolivar, MO 65613-3020
Phone: (417) 326-7200
Fax: (417) 326-7201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence 002905 (MO)
Medical Oncology Physician Taxonomy 207RX0202X
Radiation Oncology Physician Taxonomy 2085R0001X

Record details

NPI number1316372154
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Candice Evans — Credentialing · (620) 603-8846
Other names Central Care Cancer Center
NPI enumeratedSeptember 12, 2013
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024
Mailing addressPo Box 256, Salina, KS 67402-0256

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