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Contact Information

CORAM ALTERNATE SITE SERVICES, INC.
2022 GLENN PARK DR
CHAMPAIGN, IL61821-2405
 Phone: 217-356-7900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Infusion

251F00000X
 

Home Health

251E00000X A4[11] Home Health Agency
 

Infusion Therapy

163WI0500X
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for CORAM ALTERNATE SITE SERVICES, INC.

NPI Number 1114511490
LBN Legal business name CORAM ALTERNATE SITE SERVICES, INC.
Authorized official TRICIA LACAVICH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2021
Last updated 10/19/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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