DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1649331570

NPI Code Detail

MEDICARE: COONEY MEDICAL INC.

MEDICARE: COONEY MEDICAL 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
1	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	6000005501	PA
2	332BX2000X	Oxygen Equipment & Supplies (DME)	6000005501	PA
3	335E00000X	Prosthetic/Orthotic Supplier	6000005501	PA
4	332B00000X	Durable Medical Equipment & Medical Supplies	6000005501	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	N290772	OTHER	PA	WELLCARE HEALTH PLAN NO
2	000202391	OTHER	PA	BLUE CROSS BLUE SHIELD NO
3	048870400	OTHER	PA	FEDERAL BLACK LUNG NO
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1312110001	OTHER	PA	STERLING OPTIONS PLAN 1

General Provider Information

NPI Number	:	1649331570
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COONEY MEDICAL INC.

Provider Business Mailing Address
First Line	:	633 SCRANTON CARBONDALE HWY
Second Line	:
City	:	EYNON
State	:	PA
Zip	:	18403-1022
Country	:	US
Telephone Number	:	570-876-5252
Fax Number	:	570-876-4611

Provider Business Practice Location Address
First Line	:	633 SCRANTON CARBONDALE HWY
Second Line	:
City	:	EYNON
State	:	PA
Zip	:	18403-1022
Country	:	US
Telephone Number	:	570-876-5252
Fax Number	:	570-876-4671

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PATRICK SLOWEY
Credential	:
Telephone Number	:	570-876-5252

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	05/11/2020

Similar Medicare Providers

1487637120 — RESOURCE ANESTHESIOLOGY ASSOCIATES OF PA, P.C.
Practice Location Address:

681 SCRANTON CARBONDALE HWY
EYNON, PA
18403-1022

Practice Phone: 570-282-6100
Practice Fax: 570-876-5300

1104864966 — MOHAMMED RAYHAN CHOWDHURY M.D.
Practice Location Address:

681 SCRANTON CARBONDALE HWY
EYNON, PA
18403-1022

Practice Phone: 570-876-5900
Practice Fax: 570-876-5300

1730253782 — EYNON SURGERY CENTER
Practice Location Address:

681 SCRANTON CARBONDALE HWY
EYNON, PA
18403-1022

Practice Phone: 570-876-5900
Practice Fax: 570-876-5300

1730254509 — NORTHERN TIER GASTROENTEROLOGY
Practice Location Address:

681 SCRANTON CARBONDALE HWY
EYNON, PA
18403-1022

Practice Phone: 570-876-5900
Practice Fax: 570-876-5300

1053575852 — EYNON SURGERY CENTER, LLC
Practice Location Address:

681 SCRANTON CARBONDALE HWY
EYNON, PA
18403-1022

Practice Phone: 570-876-5900
Practice Fax: 570-876-5300

1578906483 — NORTHERN TIER GASTROENTEROLOGY INC
Practice Location Address:

681 SCRANTON CARBONDALE HWY
EYNON, PA
18403-1022

Practice Phone: 570-876-5900
Practice Fax: 570-876-5300

Directions to “COONEY MEDICAL INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.