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Coram Alternate Site Services, Inc.

Organization Active NPI Infusion Therapy Clinic/Center · Earth City, MO

NPI 1528297975 · NPPES record last updated Oct 20, 2022

Key facts

NPI
1528297975
Entity type
Organization (NPI type 2)
Primary specialty
Infusion Therapy Clinic/Center 261QI0500X
Legal business name
CORAM ALTERNATE SITE SERVICES, INC.
Practice address
13205 Lakefront Dr
Earth City, MO 63045-1503
Phone
(314) 656-5110
Fax
(314) 656-5005
NPI assigned
Jul 7, 2009
Organization subpart
Yes
Parent organization (as reported)
CORAM ALTERNATE SITE SERVICES, INC.

Authorized official

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

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

Locations

1675 Broadway
Ste 900
Denver, CO 80202
Phone (303) 672-8631

13205 Lakefront Dr
Earth City, MO 63045
Phone (314) 656-5110

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Yes

Addresses

Primary practice location

13205 Lakefront Dr
Earth City, MO 63045-1503

Mailing address

PO Box 809160
Chicago, IL 60680-9160
Phone (303) 672-8631

Other names

  • Coram Specialty Infusion Services, an Apria Healthcare Company Doing business as

Other providers in Earth City, MO

All providers in Earth City, MO · Infusion Therapy Clinic/Center in Missouri

Sources for this page

Verify at the official NPI Registry.