NPIMap

Organization Active NPI

Coram Alternate Site Services, Inc.

  • Infusion Therapy Clinic/Center
  • Morgantown, WV
National Provider Identifier
1457765521
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
CORAM ALTERNATE SITE SERVICES, INC.
Practice address
1271 Suncrest Town Centre Dr
Ste 1271
Morgantown, WV 26505-1876
Phone
(303) 672-8631
NPI assigned
Jun 17, 2014
Organization subpart
Yes
Parent organization
CORAM ALTERNATE SITE SERVICES, INC.As reported in NPPES

Authorized official

NPPES NPI Registry
Name
Tricia L Lacavich
Title
President
Phone
(318) 407-1785

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

National Provider Directory

National Provider Directory
Tax ID family
Coram Healthcare (27 organizations share this tax ID)
Part of
Coram Healthcare

Locations

1271 Suncrest Town Centre Dr
Ste 1271
Morgantown, WV 26505
Phone (303) 672-8631

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

NPPES NPI Registry

Primary practice location

1271 Suncrest Town Centre Dr
Ste 1271
Morgantown, WV 26505-1876

Mailing address

555 17TH St
Suite 1500
Denver, CO 80202-3950
Phone (303) 672-8631

Other names 1

NPPES NPI Registry
  • Coram CVS/specialty Infusion Services Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2022.

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1457765521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 17TH ST",
            "address_2": "SUITE 1500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802023950",
            "telephone_number": "303-672-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 SUNCREST TOWN CENTRE DR",
            "address_2": "STE 1271",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051876",
            "telephone_number": "303-672-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAM ALTERNATE SITE SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORAM ALTERNATE SITE SERVICES, INC.",
        "enumeration_date": "2014-06-17",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "LACAVICH",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-407-1785"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coram CVS/specialty Infusion Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coram CVS/specialty Infusion Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.