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Contact Information

COOTHBRUSH INC
545 COUNTRY CLUB RD SE
CORYDON, IN47112
 Phone: 812-738-2257
 Fax: 812-738-1778
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for COOTHBRUSH INC

NPI # 1386710275
LBN Legal business name COOTHBRUSH INC
Authorized official TERRY MCCOOE - (CEO COOTHBRUSH INC)
Entity Organization
Organization subpart 1 No
Enumeration date 11/24/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
IN License # 12007362
IN Medicaid 10007512A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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