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NPI Code Detail

MEDICARE: COOPERATIVE CARE PARTNERSHIP, INC.

MEDICARE: COOPERATIVE CARE PARTNERSHIP, INC.
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
1251S00000XCommunity/Behavioral Health Agency2000559NJ

Other Identifiers

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

General Provider Information

NPI Number : 1598124828
Entity Type Code : Organization
Provider Name (Legal Business Name) : COOPERATIVE CARE PARTNERSHIP, INC.
Provider Business Mailing Address
First Line : 1076 ROUTE 47 S
Second Line :
City : RIO GRANDE
State : NJ
Zip : 08242-1608
Country : US
Telephone Number : 609-741-6363
Fax Number : 609-435-5058
Provider Business Practice Location Address
First Line : 1076 ROUTE 47 S
Second Line :
City : RIO GRANDE
State : NJ
Zip : 08242-1608
Country : US
Telephone Number : 609-741-6363
Fax Number : 609-435-5058
Authorized Official
Title or Position : CFO
Name : MS. SHANNA D LEARN
Credential : LPC
Telephone Number : 609-741-6363
Provider Enumeration Date : 02/15/2016
Last Update Date : 02/04/2026

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