Coram Alternate Site Services, Inc.
LBN: Coram Alternate Site Services, Inc.
Coram Alternate Site Services, Inc. is an health care organization with primary practice located at 1009 Lark St Suite 2, Johnson City TN 37604-8217. The organization recently has 8 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Home Infusion, Ambulatory Health Care Facilities / Infusion Therapy, 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 (423) 434-0110, or through Lacavich, Tricia L via phone (318) 407-1785.
Contact Information
Primary practice address
1009 Lark St Suite 2
Johnson City TN 37604-8217
Phone: (423) 434-0110
Fax: (423) 434-0095
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Home Health | 251E00000X | ||
Agencies / Home Infusion | 251F00000X | ||
Ambulatory Health Care Facilities / Infusion Therapy | 261QI0500X | ||
Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | 0000001704 | Tennessee |
Suppliers / Pharmacy | 333600000X | 0000001704 | Tennessee |
Suppliers / Community/Retail Pharmacy | 3336C0003X | 0000001704 | Tennessee |
Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | 0000001704 | Tennessee |
Suppliers / Mail Order Pharmacy | 3336M0002X | 0000001704 | Tennessee |
Profile Details
NPI number | 1518073832 |
---|---|
LBN Legal business name | Coram Alternate Site Services, Inc. |
DBA Doing business as | |
Authorized official | Lacavich, Tricia L |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Aug 21st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518073832 | NPPES |
North Carolina | MEDICAID | 0445486 | |
North Carolina | Other | 4426892 | |
North Carolina | MEDICAID | 7701520 | |
North Carolina | MEDICAID | 145206 | |
North Carolina | MEDICAID | 009111158 | |
North Carolina | Other | 0000001704 | |
North Carolina | MEDICAID | 008506671 |
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