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Organization

AUTHORACARE COLLECTIVE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KRISTEN WITHER YNTEMA MBA, MHSA (CEO)
(336) 621-2500
Entity
Organization

Contact information

Practice address
2500 SUMMIT AVE, GREENSBORO, NC 27405-4522
(336) 621-2500
(336) 621-4516
Mailing address
2500 SUMMIT AVE, GREENSBORO, NC 27405-4522
(336) 621-2500
(336) 621-4516

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC0374
NC
251G00000X
Community Based Hospice Care Agency
Primary
HC0374
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0021T
BCBS HOSPICE
NC
01
0074B
BCBS-HOMEHEALTH
NC
01
2630370
UHC-PALLIATIVE CARE ASSOC
NC
05
3401503
NC
05
3407128
NC
05
3409253
NC
01
56162
GP MEDCOST-PALIATIVE CAR
NC
05
5904287
NC
01
6003656
UHC-HOMEHEALTH
NC
01
83-00808
UHC-HOSPICE
NC
Enumeration date
03/22/2006
Last updated
05/06/2020
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