# COOPERATING PLAN MANAGEMENT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Consiglio Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124677299
- **Authorized official:** MR. GARY ABRAM (PRESIDENT)
- **Authorized official phone:** (816) 365-1866

## Contact information

- **Practice address:** 1501 NW JEFFERSON ST, BLUE SPRINGS, MO 64015-7242
- **Practice address phone:** (816) 224-1740
- **Practice address fax:** (816) 224-1364
- **Mailing address:** 1501 NW JEFFERSON ST, BLUE SPRINGS, MO 64015-7242
- **Mailing address phone:** (816) 224-1740
- **Mailing address fax:** (816) 224-1364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/10/2019
- **Last updated:** 09/10/2019