National Provider Identifier Database

CORAM ALTERNATE SITE SERVICES INC
Home Infusion


Contact Information

CORAM ALTERNATE SITE SERVICES INC
1500 WYNKOOP ST
DENVER, CO80202-1150
Phone: 303-799-0093
Fax: 303-790-0633
Website:
Specialty Taxonomy Code
* Home Infusion 251F00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Home Health 251E00000X
Infusion Therapy 261QI0500X
Parenteral & Enteral Nutrition 332BP3500X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for CORAM ALTERNATE SITE SERVICES INC

NPI Number 1609899590
Legal business name
LBN
CORAM ALTERNATE SITE SERVICES INC
Authorized official TRICIA LACAVICH - (PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 07/25/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • CO License #: 370000024
  • CO Medicaid: 03002565
  • Other: 0614380 NCPDP
  • CO Other: 370000024 RX LICENSE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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