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Organization

CENTERWELL CERTIFIED HEALTHCARE CORP.

Active
Other names
CenterWell Home Health
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN W NICHOLS (AUTHORIZED SIGNATORY)
(336) 659-3300
Entity
Organization

Contact information

Practice address
2000 FRONTIS PLAZA BLVD, SUITE 300, WINSTON SALEM, NC 27103-5616
(336) 659-3300
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0076F
G2
01
0094Q
G2
01
12416
G2
05
1598795296
NC
01
2118439
G2
01
2224549
G2
01
259837
G2
05
3407174
NC
05
3408703
NC
01
347174
G2
01
42706-30
G2
01
600055
G2
05
6600488
NC
05
7100266
NC
01
7413068
G2
05
7701349
NC
01
79298
G2
01
79327
G2
01
ANC015
G2
Enumeration date
07/05/2006
Last updated
01/05/2024
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