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COOPERATIVE HEALTHCARE SERVICES INC. NPI 1417979402


NPI Information

NPI: 1417979402
Provider Name: COOPERATIVE HEALTHCARE SERVICES, INC.

Doing Business As: SOUTHEAST GEORGIA PHYSICIAN ASSOCIATES

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2415 PARKWOOD DR
BRUNSWICK, GA
ZIP 31520
Phone: (912) 466-7000
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COOPERATIVE HEALTHCARE SERVICES, INC. is a clinic center in Brunswick, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). COOPERATIVE HEALTHCARE SERVICES, INC. NPI is 1417979402. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southeast Georgia Physician Associates.

The provider's business location address is:

2415 PARKWOOD DR
BRUNSWICK, GA
ZIP 31520-722
Phone: (912) 466-7000
Fax: (912) 466-5091

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 enumeration date for this NPI number is 7/25/2006 and was last updated on 6/18/2021.


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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
4207RG0100XInternal MedicineGastroenterologyNo
5207RH0003XInternal MedicineHematology & OncologyNo
6207RI0200XInternal MedicineInfectious DiseaseNo
7207V00000XObstetrics & GynecologyNo
8207X00000XOrthopaedic SurgeryNo
9207Y00000XOtolaryngologyNo
10207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryNo
11208000000XPediatricsNo
12208600000XSurgeryNo
13208M00000XHospitalistNo
14261Q00000XClinic/CenterYes

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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