1336163096 NPI number — COOPERATIVE HEALTHCARE SERVICES, INC.

Table of content: (NPI 1336163096)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336163096 NPI number — COOPERATIVE HEALTHCARE SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COOPERATIVE HEALTHCARE SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SOUTHEAST GEORGIA HEALTH SYSTEM ENT SURGICAL CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336163096
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2415 PARKWOOD DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRUNSWICK
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31520-4722
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
912-466-7000
Provider Business Mailing Address Fax Number:
712-466-5091

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2916 GLYNN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRUNSWICK
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31520-4844
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
912-265-2573
Provider Business Practice Location Address Fax Number:
912-262-0795
Provider Enumeration Date:
07/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SCHERNECK
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
DAVID
Authorized Official Title or Position:
PRESIDENT & CEO
Authorized Official Telephone Number:
912-466-7049

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X , with the licence number:  063-316 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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