Organization
CORAM ALTERNATE SITE SERVICES, INC.
Active
Parent organization
CORAM ALTERNATE SITE SERVICES, INC.
Other names
Coram Specialty Infusion Services, an Apria Healthcare Company
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORAM ALTERNATE SITE SERVICES, INC.
Authorized official
TRICIA L LACAVICH (PRESIDENT)
(318) 407-1785
Entity
Organization
Contact information
Practice address
8200 E 34TH CIR N, SUITE 1001, WICHITA, KS 67226-1349
(316) 683-9414
(316) 683-3469
Mailing address
1675 BROADWAY, SUITE 900, DENVER, CO 80202-4675
(303) 672-8631
(303) 298-0047
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
A-087-019
KS
251F00000X
Home Infusion Agency
Primary
A-087-019
KS
261QI0500X
Infusion Therapy Clinic/Center
—
KS
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Enumeration date
06/12/2006
Last updated
10/20/2022
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