Organization
COONEY MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK SLOWEY (PRESIDENT)
(570) 876-5252
Entity
Organization
Contact information
Practice address
633 SCRANTON CARBONDALE HWY, EYNON, PA 18403-1022
(570) 876-5252
(570) 876-4671
Mailing address
633 SCRANTON CARBONDALE HWY, EYNON, PA 18403-1022
(570) 876-5252
(570) 876-4611
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6000005501
PA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
6000005501
PA
332BX2000X
Oxygen Equipment & Supplies (DME)
6000005501
PA
335E00000X
Prosthetic/Orthotic Supplier
6000005501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000202391
BLUE CROSS BLUE SHIELD NO
PA
05
—
0075870390003
—
PA
01
—
048870400
FEDERAL BLACK LUNG NO
PA
01
—
1312110001
STERLING OPTIONS PLAN 1
PA
01
—
N290772
WELLCARE HEALTH PLAN NO
PA
Enumeration date
12/13/2006
Last updated
05/11/2020
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