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CORAM HEALTHCARE CORPORATION OF GREATER DC NPI 1134228745


NPI Information

NPI: 1134228745
Provider Name: CORAM HEALTHCARE CORPORATION OF GREATER DC

Doing Business As: CORAM CVS/SPECIALTY INFUSION SERVICES

Classification: Home Infusion - 251F00000X
Entity Type: Organization
Address:
3190 FAIRVIEW PARK DR
FALLS CHURCH, VA
ZIP 22042
Phone: (443) 669-8675
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CORAM HEALTHCARE CORPORATION OF GREATER DC is a home infusion in Falls Church, VA. CORAM HEALTHCARE CORPORATION OF GREATER DC NPI is 1134228745. The provider is registered as an organization entity type.
The provider Is Doing Business As Coram Cvs/specialty Infusion Services.

The provider's business location address is:

3190 FAIRVIEW PARK DR
FALLS CHURCH, VA
ZIP 22042-530
Phone: (443) 669-8675
Fax: (703) 631-6738

The provider's authorized official is Tricia Lacavich .
The authorized official title is President and has the following contact phone number (314) 306-3255.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthHCO-176VIRGINIANo
2251F00000XHome InfusionHCO-176VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14829846OTHERNCPDP
20201002670OTHERVIRGINIARX LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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