Whalio Doctors

NPI 1568404887

Coram Alternate Site Services, INC.

Organisation Home Infusion Agency Wichita, KS

Practice location

Address
8200 E 34th Cir N Suite 1001, Wichita, KS 67226-1349
Phone
(316) 683-9414
Fax
(316) 683-3469
Mailing address
1675 Broadway Suite 900, Denver, CO 80202-4675

Authorised official

Name
Tricia L Lacavich
Title
President
Phone
(318) 407-1785

Registered specialties (4)

Home Infusion Agency Primary
Agencies Taxonomy 251F00000X Licence A-087-019 (KS)
Home Health Agency
Agencies Taxonomy 251E00000X Licence A-087-019 (KS)
Infusion Therapy Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QI0500X
Parenteral & Enteral Nutrition Supplies (DME)
Suppliers Taxonomy 332BP3500X

Registry record

NPI
1568404887
Entity type
Organization
NPI issued
12 Jun 2006
Record last updated
20 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.