MEDICARE: PEOPLE WORKING COOPERATIVELY

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588947717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEOPLE WORKING COOPERATIVELY

Provider Business Mailing Address
First Line	:	4612 PADDOCK RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-1002
Country	:	US
Telephone Number	:	513-351-7921
Fax Number	:	513-351-2734

Provider Business Practice Location Address
First Line	:	4612 PADDOCK RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-1002
Country	:	US
Telephone Number	:	513-351-7921
Fax Number	:	513-351-2734

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JOCK J PITTS
Credential	:
Telephone Number	:	513-351-7921

Provider Enumeration Date	:	09/23/2011
Last Update Date	:	10/15/2013

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Directions to “PEOPLE WORKING COOPERATIVELY ” Practice Location

Language	Start Address	Practice Location

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