Provider Demographics
NPI:1114233541
Name:GROUP HEALTH COOPERATIVE
Entity Type:Organization
Organization Name:GROUP HEALTH COOPERATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-782-1700
Mailing Address - Street 1:555 PACIFIC AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98337-1903
Mailing Address - Country:US
Mailing Address - Phone:306-782-1700
Mailing Address - Fax:
Practice Address - Street 1:555 PACIFIC AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98337-1903
Practice Address - Country:US
Practice Address - Phone:306-782-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization