Provider Demographics
NPI:1649456567
Name:COOPERATIVE HEALTH PARTNERS
Entity type:Organization
Organization Name:COOPERATIVE HEALTH PARTNERS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-325-4626
Mailing Address - Street 1:17 S HIGH ST
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-3413
Mailing Address - Country:US
Mailing Address - Phone:614-228-9131
Mailing Address - Fax:
Practice Address - Street 1:17 S HIGH ST
Practice Address - Street 2:SUITE 1000
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-3413
Practice Address - Country:US
Practice Address - Phone:614-228-9131
Practice Address - Fax:614-228-7702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker