Provider Demographics
NPI:1922649979
Name:JOHN R COCHRAN AND ASSOCIATES
Entity Type:Organization
Organization Name:JOHN R COCHRAN AND ASSOCIATES
Other - Org Name:
Other - Org Type:
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 STE 2300
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35216-3788
Mailing Address - Country:US
Mailing Address - Phone:205-795-2061
Mailing Address - Fax:205-823-7758
Practice Address - Street 1:300 VESTAVIA PKWY STE 2300
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35216-3788
Practice Address - Country:US
Practice Address - Phone:205-795-2061
Practice Address - Fax:205-823-7758
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOHN R COCHRAN AND ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care