Provider Demographics
NPI:1225483746
Name:JR COCHRAN ENTERPRISES
Entity Type:Organization
Organization Name:JR COCHRAN ENTERPRISES
Other - Org Name:AMRAMP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:COCHRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-527-4146
Mailing Address - Street 1:300 VESTAVIA PKWY
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35216-7714
Mailing Address - Country:US
Mailing Address - Phone:205-527-4146
Mailing Address - Fax:205-823-7758
Practice Address - Street 1:300 VESTAVIA PKWY
Practice Address - Street 2:SUITE 2300
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35216-7714
Practice Address - Country:US
Practice Address - Phone:205-527-4146
Practice Address - Fax:205-823-7758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-03
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies