Provider Demographics
NPI:1285021600
Name:COOPER HEALTH SYSTEM
Entity Type:Organization
Organization Name:COOPER HEALTH SYSTEM
Other - Org Name:EARLY INTERVENTION PROGRAM
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF BILLING
Authorized Official - Prefix:
Authorized Official - First Name:FRANCINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARGERONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-356-6530
Mailing Address - Street 1:3 COOPER PLAZA
Mailing Address - Street 2:SUITE 513
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103
Mailing Address - Country:US
Mailing Address - Phone:856-963-3715
Mailing Address - Fax:856-635-1052
Practice Address - Street 1:3 COOPER PLZ
Practice Address - Street 2:SUITE 513
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:856-963-3715
Practice Address - Fax:856-635-1052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-23
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNN094955000282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital