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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
11041C0700XClinical Social Worker
2207QH0002XHospice and Palliative Medicine (Family Medicine) Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12630370OTHERNCUHC-PALLIATIVE CARE ASSOCIATION
256162OTHERNCGP MEDCOST-PALLIATIVE CARE

General Provider Information

NPI Number : 1194459461
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 :
Provider Business Practice Location Address
First Line : 2500 SUMMIT AVE
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-4522
Country : US
Telephone Number : 336-216-2500
Fax Number :
Authorized Official
Title or Position : CFO
Name : LEIGH SPENCER WILLIAMS
Credential : CPA, CPIM
Telephone Number : 336-532-0125
Provider Enumeration Date : 07/13/2022
Last Update Date : 07/06/2023

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