Central Care, PA
NPI 1942575527ActiveOrganization· Specialist· Bolivar, MO
Specialist in Bolivar, Missouri, registered in NPPES in March 2012, part of Central Care, PA. The authorized official on file is Candice Evans, Credentialing.
Overview
| NPI | 1942575527 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Central Care, PA |
| NPI issued | Mar 15, 2012 |
| Last updated in NPPES | Apr 2, 2024 |
| Certified by provider | Apr 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
| Internal Medicine, Medical Oncology | 207RX0202X | — | — |
| Radiology, Radiation Oncology | 2085R0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Specialist providers in Bolivar
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