Coram Cvs/Specialty Infusion Services

LBN: Coram Alternate Site Services, Inc.
Coram Cvs/Specialty Infusion Services is an health care organization with primary practice located at 4334 Brockton Drive Se, Suite D , Kentwood MI 49512-4118. The organization recently has 9 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Home Infusion, Ambulatory Health Care Facilities / Infusion Therapy, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Coram Alternate Site Services, Inc. can be contacted via phone (616) 698-0272, or through Weinert, Craig S via phone (401) 765-1500.

Contact Information

Primary practice address
4334 Brockton Drive Se, Suite D Kentwood MI 49512-4118
Phone: (616) 698-0272
Fax: (616) 698-0219
Website:
Map and Directions
Authorized official contact:
Name: Weinert, Craig S
Phone: (401) 765-1500

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / Home Infusion 251F00000X
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X 5301006259 Michigan
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 5301006259 Michigan
Suppliers / Pharmacy 333600000X 5301006259 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X 5301006259 Michigan
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 5301006259 Michigan
Suppliers / Mail Order Pharmacy 3336M0002X 5301006259 Michigan

Profile Details

NPI number 1053340893
LBN Legal business name Coram Alternate Site Services, Inc.
DBA Doing business as Coram Cvs/Specialty Infusion Services
Authorized official Weinert, Craig S
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 2nd, 2006
Last updated Mar 12th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053340893 NPPES
Michigan Other 5301006259 RX LICENSE
Michigan Other 2354619 RX LICENSE

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