<Unavail>

LBN: Coram Alternate Site Services Inc
<Unavail> is an health care organization with primary practice located at 180 Passaic Ave , Fairfield NJ 07004-3516. 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 Alternate Site Services Inc can be contacted via phone (973) 756-5963, or through Lacavich, Tricia via phone (314) 306-3255.

Contact Information

Primary practice address
180 Passaic Ave Fairfield NJ 07004-3516
Phone: (973) 756-5963
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lacavich, Tricia
Phone: (314) 306-3255

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X HP0218401 New Jersey
Agencies / Home Infusion 251F00000X HP0218401 New Jersey

Profile Details

NPI number 1063432672
LBN Legal business name Coram Alternate Site Services Inc
DBA Doing business as <Unavail>
Authorized official Lacavich, Tricia
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 20th, 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 1063432672 NPPES
New Jersey Other 28RS00527400 RX LICENSE
New Jersey Other 3137064 RX LICENSE

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