Provider Demographics
NPI:1134462773
Name:AMERICARE FAMILY CLINIC
Entity Type:Organization
Organization Name:AMERICARE FAMILY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENWORTH
Authorized Official - Middle Name:F
Authorized Official - Last Name:HOLNESS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:336-889-9900
Mailing Address - Street 1:3750 ADMIRAL DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-1555
Mailing Address - Country:US
Mailing Address - Phone:336-889-9900
Mailing Address - Fax:336-889-9564
Practice Address - Street 1:3750 ADMIRAL DR
Practice Address - Street 2:SUITE 105
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-1555
Practice Address - Country:US
Practice Address - Phone:336-889-9900
Practice Address - Fax:336-889-9564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-02
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty