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NPI Code Detail

MEDICARE: AUTHORACARE COLLECTIVE

MEDICARE: AUTHORACARE COLLECTIVE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyHC0374NC
2251G00000XCommunity Based Hospice Care AgencyHC0374NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10074BOTHERNCBCBS-HOMEHEALTH
283-00808OTHERNCUHC-HOSPICE
32630370OTHERNCUHC-PALLIATIVE CARE ASSOC
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
56003656OTHERNCUHC-HOMEHEALTH
60021TOTHERNCBCBS HOSPICE
756162OTHERNCGP MEDCOST-PALIATIVE CAR
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093774614
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUTHORACARE COLLECTIVE
Provider Business Mailing Address
First Line : 2500 SUMMIT AVE
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-4522
Country : US
Telephone Number : 336-621-2500
Fax Number : 336-621-4516
Provider Business Practice Location Address
First Line : 2500 SUMMIT AVE
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-4522
Country : US
Telephone Number : 336-621-2500
Fax Number : 336-621-4516
Authorized Official
Title or Position : CEO
Name : MRS. KRISTEN WITHER YNTEMA
Credential : MBA, MHSA
Telephone Number : 336-621-2500
Provider Enumeration Date : 03/22/2006
Last Update Date : 05/06/2020

Similar Medicare Providers

1265432447 — DR. DONALD EDWARD HERTWECK MD
Practice Location Address:
2500 SUMMIT AVE
GREENSBORO, NC
27405-4522
Practice Phone: 336-621-2500
Practice Fax: 336-478-2541
1043206071 — LYNN K SMITH MD
Practice Location Address:
2500 SUMMIT AVE
GREENSBORO, NC
27405-4522
Practice Phone: 336-621-2500
Practice Fax: 336-621-4516
1831172030 — MS. STEPHANIE GOULD JORDAN NP
Practice Location Address:
2500 SUMMIT AVE
GREENSBORO, NC
27405-4522
Practice Phone: 336-621-2500
Practice Fax:
1841252442 — DR. ERNEST SCHILLER MD
Practice Location Address:
2500 SUMMIT AVE
GREENSBORO, NC
27405-4522
Practice Phone: 336-621-2500
Practice Fax: 336-478-2541
1194788877 — DR. NEIL KING HALL MD
Practice Location Address:
2500 SUMMIT AVE
GREENSBORO, NC
27405-4522
Practice Phone: 336-621-2500
Practice Fax: 336-621-4516
1639122070 — DR. JOHN EMERSON FELDMANN M.D.
Practice Location Address:
2500 SUMMIT AVE
GREENSBORO, NC
27405-4522
Practice Phone: 336-621-2500
Practice Fax: 336-478-2541

Directions to “AUTHORACARE COLLECTIVE ” Practice Location

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