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 206 Roxalana Business Park , Dunbar WV 25064-2727. 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 (304) 768-1241, or through Lacavich, Tricia via phone (318) 407-1785.

Contact Information

Primary practice address
206 Roxalana Business Park Dunbar WV 25064-2727
Phone: (304) 768-1241
Fax: (304) 768-0925
Website:
Map and Directions
Authorized official contact:
Name: Lacavich, Tricia
Phone: (318) 407-1785

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / Home Infusion 251F00000X
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X N/A West Virginia
Suppliers / Parenteral & Enteral Nutrition 332BP3500X SP0552256 West Virginia
Suppliers / Pharmacy 333600000X SP0552256 West Virginia
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X SP0552256 West Virginia
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X SP0552256 West Virginia
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Mail Order Pharmacy 3336M0002X SP0552256 West Virginia

Profile Details

NPI number 1366499881
LBN Legal business name Coram Alternate Site Services, Inc.
DBA Doing business as
Authorized official Lacavich, Tricia
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 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 1366499881 NPPES
Kentucky MEDICAID 5403328700
Kentucky MEDICAID 90009721
Kentucky MEDICAID 8508001
Kentucky Other 5010486
Kentucky Other SP0552256

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