Central Care PA
NPI 1316372154ActiveOrganization· Non-Pharmacy Dispensing Site· Bolivar, MO
Non-Pharmacy Dispensing Site in Bolivar, Missouri, registered in NPPES in September 2013. The authorized official on file is Candice Evans, Credentialing. Enrolled in Medicare as dme supplier - physician - general surgery.
Overview
| NPI | 1316372154 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 12, 2013 |
| Last updated in NPPES | Apr 2, 2024 |
| Certified by provider | Apr 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | 002905 | MO |
| Internal Medicine, Medical Oncology | 207RX0202X | — | — |
| Radiology, Radiation Oncology | 2085R0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - General Surgery (MO) |
|---|