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COOPERATIVE HEALTHCARE SERVICES INC. NPI 1336163096


NPI Information

NPI: 1336163096
Provider Name: COOPERATIVE HEALTHCARE SERVICES, INC.

Doing Business As: SOUTHEAST GEORGIA HEALTH SYSTEM ENT SURGICAL CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D1094211

Address:
2916 GLYNN AVE
BRUNSWICK, GA
ZIP 31520
Phone: (912) 265-2573
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COOPERATIVE HEALTHCARE SERVICES, INC. is an ambulatory surgical clinic center in Brunswick, GA. COOPERATIVE HEALTHCARE SERVICES, INC. NPI is 1336163096. The provider is registered as an organization entity type.
The provider Is Doing Business As Southeast Georgia Health System Ent Surgical Center.

The provider's business location address is:

2916 GLYNN AVE
BRUNSWICK, GA
ZIP 31520-844
Phone: (912) 265-2573
Fax: (912) 262-0795

The provider's authorized official is Michael David Scherneck .
The authorized official title is President & Ceo and has the following contact phone number (912) 466-7049.

The CLIA number assigned to this NPI record is 11D1094211 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/27/2006 and was last updated on 8/22/2020.


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
1261QA1903XClinic/CenterAmbulatory Surgical063-316PENNSYLVANIAYes

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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