Coram Cvs/Specialty Infusion Services
LBN: Coram Healthcare Corporation Of Northern California
Coram Cvs/Specialty Infusion Services is an health care organization with primary practice located at 1401 Willow Pass Rd , Concord CA 94520-7982. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Home Infusion. Agencies / Home Infusion is the primary health care specialty.
Coram Healthcare Corporation Of Northern California can be contacted via phone (323) 371-5046, or through Lacavich, Tricia via phone (314) 306-3255.
Contact Information
Primary practice address
1401 Willow Pass Rd
Concord CA 94520-7982
Phone: (323) 371-5046
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 020000338 | California |
| Agencies / Home Infusion | 251F00000X | 020000338 | California |
Profile Details
| NPI number | 1629027867 |
|---|---|
| LBN Legal business name | Coram Healthcare Corporation Of Northern California |
| DBA Doing business as | Coram Cvs/Specialty Infusion Services |
| Authorized official | Lacavich, Tricia |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 6th, 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 | 1629027867 | NPPES |
| California | Other | PHY49294 | PHARMACY LICENSE |
| California | Other | 020000338 | PHARMACY LICENSE |
| California | Other | 0522385 | PHARMACY LICENSE |
| California | MEDICAID | PHA466360 | PHARMACY LICENSE |
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