# CORAM ALTERNATE SITE SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700973336
- **Authorized official:** CRAIG S WEINERT (PRESIDENT)
- **Authorized official phone:** (401) 765-1500

## Contact information

- **Practice address:** 10915 TECHNOLOGY PL, SAN DIEGO, CA 92127-1811
- **Practice address phone:** (858) 637-6314
- **Practice address fax:** (858) 637-6394
- **Mailing address:** 1675 BROADWAY, SUITE 900, DENVER, CO 80202-4675
- **Mailing address phone:** (303) 672-8631
- **Mailing address fax:** (303) 298-0047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 101225 | CA | Yes |
| 332BC3200X | Customized Equipment (DME) | 101225 | CA | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 101225 | CA | — |
| 3336C0003X | Community/Retail Pharmacy | 48353 | CA | — |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 03/12/2024