Provider Demographics
NPI:1629225602
Name:HULL A. COOK, M.D., P.S.
Entity Type:Organization
Organization Name:HULL A. COOK, M.D., P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HULL
Authorized Official - Middle Name:A
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACOG
Authorized Official - Phone:360-671-8086
Mailing Address - Street 1:1600 F ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-3012
Mailing Address - Country:US
Mailing Address - Phone:360-671-8086
Mailing Address - Fax:360-738-0886
Practice Address - Street 1:1600 F ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-3012
Practice Address - Country:US
Practice Address - Phone:360-671-8086
Practice Address - Fax:360-738-0886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00014696207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1379304Medicaid
WAG001400044Medicare PIN
WA1379304Medicaid