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 618 Grassmere Park Suite 7, Nashville TN 37211-3643. 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 (615) 832-9366, or through Lacavich, Tricia via phone (314) 306-3255.

Contact Information

Primary practice address
618 Grassmere Park Suite 7 Nashville TN 37211-3643
Phone: (615) 832-9366
Fax: (615) 832-9069
Website:
Map and Directions
Authorized official contact:
Name: Lacavich, Tricia
Phone: (314) 306-3255

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 0000002879 Tennessee
Agencies / Home Infusion 251F00000X 0000002879 Tennessee
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X 0000002879 Tennessee
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 0000002879 Tennessee
Suppliers / Pharmacy 333600000X 0000002879 Tennessee
Suppliers / Community/Retail Pharmacy 3336C0003X 0000002879 Tennessee
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 0000002879 Tennessee
Suppliers / Mail Order Pharmacy 3336M0002X 0000002879 Tennessee

Profile Details

NPI number 1033218615
LBN Legal business name Coram Alternate Site Services, Inc.
DBA Doing business as
Authorized official Lacavich, Tricia
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 21st, 2006
Last updated Mar 7th, 2023 - about 3 years 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 1033218615 NPPES
Tennessee Other 0000002879 RX LICENSE
Tennessee MEDICAID 1452066 RX LICENSE
Tennessee Other 4429608 RX LICENSE
Tennessee MEDICAID 90262890 RX LICENSE

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