CORAM ALTERNATE SITE SERVICES INC NPI 1609899590

NPI Information

NPI: 1609899590
Provider Name: CORAM ALTERNATE SITE SERVICES INC

Doing Business As: CORAM CVS/SPECIALTY INFUSION SERVICES

Classification: Home Infusion - 251F00000X
Entity Type: Organization

Address:
1500 WYNKOOP ST
DENVER, CO
ZIP 80202
Phone: (303) 799-0093
Get Directions

CORAM ALTERNATE SITE SERVICES INC is a home infusion in Denver, CO. CORAM ALTERNATE SITE SERVICES INC NPI is 1609899590. 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:

1500 WYNKOOP ST
DENVER, CO
ZIP 80202-150
Phone: (303) 799-0093
Fax: (303) 790-0633

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 CLIA number assigned to this NPI record is 06D0938159 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2006 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
1	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	370000024	COLORADO	No
2	333600000X	Pharmacy		370000024	COLORADO	No
3	251E00000X	Home Health				No
4	261QI0500X	Clinic/Center	Infusion Therapy	370000024	COLORADO	No
5	332B00000X	Durable Medical Equipment & Medical Supplies				No
6	251F00000X	Home Infusion				Yes

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
1	0614380	OTHER		NCPDP
2	03002565	MEDICAID	COLORADO
3	370000024	OTHER	COLORADO	RX 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: 4/28/2024

NPI Synchronization or Removal

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