Provider Demographics
NPI:1871570598
Name:COOKE & BURNELL ORTHOPEDICS & CONVALESCENT SUPPLIES, INC
Entity type:Organization
Organization Name:COOKE & BURNELL ORTHOPEDICS & CONVALESCENT SUPPLIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EVERETTE
Authorized Official - Middle Name:E
Authorized Official - Last Name:COOKE
Authorized Official - Suffix:
Authorized Official - Credentials:CERT ORTHOTIST
Authorized Official - Phone:413-443-4431
Mailing Address - Street 1:741 TYLER STREET
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-4359
Mailing Address - Country:US
Mailing Address - Phone:413-443-4431
Mailing Address - Fax:413-499-8877
Practice Address - Street 1:741 TYLER ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-4318
Practice Address - Country:US
Practice Address - Phone:413-443-4431
Practice Address - Fax:413-499-8877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Not Answered335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA11533OtherHEALTH NEW ENGLAND
MA702246OtherHARVARD PILGRIM HEALTHCAR
MA23188OtherHEALTH NET BOSTON MEDICAL
MA803143OtherTUFTS HEALTHPLAN
MA117354OtherBLUE CROSS BLUE SHIELD
MA650630OtherCIGNA HEALTHCARE
MA650630OtherCIGNA HEALTHCARE