MEDICARE: THE COS COMPANIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	293D00000X	Physiological Laboratory

General Provider Information

NPI Number	:	1013140524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE COS COMPANIES

Provider Business Mailing Address
First Line	:	820 S NORTH ST
Second Line	:
City	:	WASHINGTON COURT HOUSE
State	:	OH
Zip	:	43160-2262
Country	:	US
Telephone Number	:	574-696-0001
Fax Number	:

Provider Business Practice Location Address
First Line	:	820 S NORTH ST
Second Line	:
City	:	WASHINGTON COURT HOUSE
State	:	OH
Zip	:	43160-2262
Country	:	US
Telephone Number	:	574-696-0001
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BENJAMIN ATKINSON
Credential	:
Telephone Number	:	574-696-0001

Provider Enumeration Date	:	08/31/2009
Last Update Date	:	08/31/2009

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Directions to “THE COS COMPANIES ” Practice Location

Language	Start Address	Practice Location

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