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COOPERATIVE REHAB SERVICES LLC NPI 1669416426


NPI Information

NPI: 1669416426
Provider Name: COOPERATIVE REHAB SERVICES, LLC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1111 GLYNCO PKWY
SUITE 110
BRUNSWICK, GA
ZIP 31525
Phone: (912) 264-5377
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COOPERATIVE REHAB SERVICES, LLC is a rehabilitation clinic center in Brunswick, GA. COOPERATIVE REHAB SERVICES, LLC NPI is 1669416426. The provider is registered as an organization entity type.

The provider's business location address is:

1111 GLYNCO PKWY
SUITE 110
BRUNSWICK, GA
ZIP 31525-921
Phone: (912) 264-5377
Fax: (912) 262-1889

The provider's authorized official is Timothy Reinschmidt .
The authorized official title is Vp/chief Financial Officer and has the following contact phone number (904) 858-7488.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 9/21/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1116840MEDICARE OSCAR/CERTIFICATIONGEORGIA
200969493AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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