Organization
CORAM ALTERNATE SITE SERVICES INC
Active
Parent organization
CORAM ALTERNATE SITE SERVICES INC
Other names
Coram CVS/specialty Infusion Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORAM ALTERNATE SITE SERVICES INC
Authorized official
EMILY FIELD (PRESIDENT/TREASURER)
(401) 765-1500
Entity
Organization
Contact information
Practice address
2345 WATERS DR, MENDOTA HEIGHTS, MN 55120-1163
(651) 452-5600
(651) 452-6510
Mailing address
PO BOX 809160, CHICAGO, IL 60680-9160
(720) 895-3211
(303) 298-0047
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
261268-7
MN
333600000X
Pharmacy
261268-7
MN
3336C0003X
Community/Retail Pharmacy
261268-7
MN
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
261268-7
MN
3336M0002X
Mail Order Pharmacy
261268-7
MN
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2421662
NCPDP
—
01
—
261268-7
RX LICENSE
MN
Enumeration date
07/05/2006
Last updated
06/09/2025
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