CORAM ALTERNATE SITE SERVICES INC. NPI 1619478047

NPI Information

NPI: 1619478047
Provider Name: CORAM ALTERNATE SITE SERVICES, INC.

Doing Business As: CORAM CVS/ SPECIALTY INFUSION SERVICES

Classification: Home Infusion - 251F00000X
Entity Type: Organization

Address:
4601 E HILTON AVE STE 105
PHOENIX, AZ
ZIP 85034
Phone: (480) 240-3200
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CORAM ALTERNATE SITE SERVICES, INC. is a home infusion in Phoenix, AZ. CORAM ALTERNATE SITE SERVICES, INC. NPI is 1619478047. 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:

4601 E HILTON AVE STE 105
PHOENIX, AZ
ZIP 85034-406
Phone: (480) 240-3200

The provider's authorized official is Sandy L Campa .
The authorized official title is Senior Consulant, Payer Relations and has the following contact phone number (909) 799-4174.

The CLIA number assigned to this NPI record is 03D2145393 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2018 and was last updated on 8/19/2019.

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	Primary
1	333600000X	Pharmacy		No
2	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	No
3	251E00000X	Home Health		No
4	251F00000X	Home Infusion		Yes

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: 11/14/2023

NPI Synchronization or Removal

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