Provider Demographics
NPI:1306825088
Name:COOKS MEDICAL CARE CO., INC.
Entity Type:Organization
Organization Name:COOKS MEDICAL CARE CO., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:A
Authorized Official - Last Name:YOCKAVITCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-283-5238
Mailing Address - Street 1:R 785 WYOMING AVENUE
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704
Mailing Address - Country:US
Mailing Address - Phone:570-283-5238
Mailing Address - Fax:570-283-2971
Practice Address - Street 1:R 785 WYOMING AVENUE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704
Practice Address - Country:US
Practice Address - Phone:570-283-5238
Practice Address - Fax:570-283-2971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA8000000356332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
998030OtherBLUE CROSS OF NEPA MAJMED
080342OtherFIRST PRIORITY HEALTH
PA0015352690003Medicaid
30186OtherGEISINGER HEALTH PLAN
40763OtherHEALTH AMERICA/HEALTH ASS
94259OtherGEISINGER HEALTH PLAN
1445264OtherBLUE CROSS OF NEPA
234491OtherBLUE CROSS OF NEPA
814222OtherFIRST PRIORITY HEALTH
PA0015352690002Medicaid
PA0015352690003Medicaid