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 11111 Mill Valley Road , Omaha NE 68154. 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 (402) 330-5482, or through Lacavich, Tricia President via phone (314) 306-3255.

Contact Information

Primary practice address
11111 Mill Valley Road Omaha NE 68154
Phone: (402) 330-5482
Fax: (402) 330-2697
Website:
Map and Directions
Authorized official contact:
Name: Lacavich, Tricia President
Phone: (314) 306-3255

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 261008 Nebraska
Agencies / Home Infusion 251F00000X 261008 Nebraska
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X PENDING Nebraska
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 2245 Nebraska
Suppliers / Pharmacy 333600000X 2245 Nebraska
Suppliers / Community/Retail Pharmacy 3336C0003X 2245 Nebraska
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 2245 Nebraska
Suppliers / Mail Order Pharmacy 3336M0002X 2245 Nebraska

Profile Details

NPI number 1326093899
LBN Legal business name Coram Alternate Site Services, Inc.
DBA Doing business as Coram Cvs/Specialty Infusion Services
Authorized official Lacavich, Tricia President
Entity Organization
Organization subpart 1 Yes
Enumeration date May 23rd, 2006
Last updated Mar 7th, 2023 - 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 1326093899 NPPES
Nebraska Other 476 PHARAMCY
Nebraska Other 2814641 PHARAMCY

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