NPI 1609899590

Coram Alternate Site Services INC

Organisation Home Infusion Agency Denver, CO

Practice location

Address: 1500 Wynkoop St, Denver, CO 80202-1150
Phone: (303) 799-0093
Fax: (303) 790-0633
Mailing address: PO Box 809160, Chicago, IL 60680-9160

Authorised official

Name: Tricia Lacavich
Title: President
Phone: (314) 306-3255

Registered specialties (6)

Home Infusion Agency Primary

Agencies Taxonomy 251F00000X

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Home Health Agency

Agencies Taxonomy 251E00000X

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Infusion Therapy Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QI0500X Licence 370000024 (CO)

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Parenteral & Enteral Nutrition Supplies (DME)

Suppliers Taxonomy 332BP3500X Licence 370000024 (CO)

Pharmacy

Suppliers Taxonomy 333600000X Licence 370000024 (CO)

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Registry record

NPI: 1609899590
Entity type: Organization
NPI issued: 25 Jul 2006
Record last updated: 7 Mar 2023

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.