Coram Cvs/Specialty Infusion Services

LBN: Coram Healthcare Corporation Of Southern California
Coram Cvs/Specialty Infusion Services is an health care organization with primary practice located at 4355 E Lowell St Ste C, Ontario CA 91761-2225. 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 Healthcare Corporation Of Southern California can be contacted via phone (909) 605-0010, or through Weinert, Craig via phone (401) 765-1500.

Contact Information

Primary practice address
4355 E Lowell St Ste C Ontario CA 91761-2225
Phone: (909) 605-0010
Fax: (906) 605-5771
Website:
Map and Directions
Authorized official contact:
Name: Weinert, Craig
Phone: (401) 765-1500

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 2400748 California
Agencies / Home Infusion 251F00000X 2400748 California
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X California
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PHY49297 California
Suppliers / Parenteral & Enteral Nutrition 332BP3500X PHY 40884 California
Suppliers / Pharmacy 333600000X PHY 40884 California
Suppliers / Community/Retail Pharmacy 3336C0003X PHY 40884 California
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X PHY 40884 California
Suppliers / Mail Order Pharmacy 3336M0002X PHY 40884 California

Profile Details

NPI number 1740239623
LBN Legal business name Coram Healthcare Corporation Of Southern California
DBA Doing business as Coram Cvs/Specialty Infusion Services
Authorized official Weinert, Craig
Entity Organization
Organization subpart 1 Yes
Enumeration date May 9th, 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 1740239623 NPPES
California MEDICAID PHA 408840
California Other 0553708
California Other 2400748
California Other PHY49297

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