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 2140 New Market Pkwy Suite 106, Marietta GA 30067-8766. 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 (770) 952-3021, or through Weinert, Craig via phone (401) 765-1500.

Contact Information

Primary practice address
2140 New Market Pkwy Suite 106 Marietta GA 30067-8766
Phone: (770) 952-3021
Fax: (770) 952-6840
Website:
Map and Directions
Authorized official contact:
Name: Weinert, Craig
Phone: (401) 765-1500

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / Home Infusion 251F00000X
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X N/A Georgia
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X PHRE006180 Georgia
Suppliers / Pharmacy 333600000X PHRE006180 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE006180 Georgia
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X PHRE006180 Georgia
Suppliers / Mail Order Pharmacy 3336M0002X -PHRE006180 Georgia

Profile Details

NPI number 1255387767
LBN Legal business name Coram Alternate Site Services, Inc.
DBA Doing business as Coram Cvs/Specialty Infusion Services
Authorized official Weinert, Craig
Entity Organization
Organization subpart 1 Yes
Enumeration date May 26th, 2006
Last updated Mar 15th, 2024 - about 6 months ago

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 1255387767 NPPES
Georgia MEDICAID 000676255B
Georgia Other PHRE006180
Georgia MEDICAID 00676255A
Georgia MEDICAID 000676255E
Georgia Other 1141819

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