Cooperative Health Services, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

200254 Issued in KY

Legal business name

COOPERATIVE HEALTH SERVICES, INC

Doing business as

Western Kentucky Rheumatology Center Laboratory

Practice address

815 E Parrish Ave Ste 230
Owensboro, KY 42303-3222

Phone

(270) 688-1200

Fax

(270) 688-1204

NPI assigned

Jun 1, 2007

Last updated

May 8, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

COOPERATIVE HEALTH SERVICES, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John T. Hackbarth Jr.

Title

Secretary

Phone

(270) 688-2114

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Western Kentucky Rheumatology Center Laboratory Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Owensboro Health Medical Group, Inc

  dba Owensboro Health Madisonville Healthplex

  • Clinical Medical Laboratory
  • Madisonville, KY
  • NPI 1043343536

  O20070716000700

  Same enrollment

Part of

Cooperative Health Services

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1689876690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E PARRISH AVE STE 230",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033222",
            "telephone_number": "270-688-1200",
            "fax_number": "270-688-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E PARRISH AVE STE 230",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033222",
            "telephone_number": "270-688-1200",
            "fax_number": "270-688-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPERATIVE HEALTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOPERATIVE HEALTH SERVICES, INC",
        "enumeration_date": "2007-06-01",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "HACKBARTH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "270-688-2114",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": "200254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM LAB GROUP # - CHS",
            "identifier": "000000518826",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Kentucky Rheumatology Center Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James A Coomes, M.D.
• April Nicole Cooper
• Dena Marie Cooper, SLP
• James Edward Cooper I, D.M.D.
• Tamara Deanne Cooper, LCSW, TCADC
• Emma Kay Corbell, PTA
• Nicole Corbell, MS CCC-SLP
• Kimberly Lynn Corley, RPH
• Roy Bradford Cornell, M.D.
• Corner Homecare

• Clinical Medical Laboratory in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Clinical Medical Laboratory in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.