Coram Cvs/Specialty Infusion Services

LBN: Coram Alternate Site Services Inc
Coram Cvs/Specialty Infusion Services is an health care organization with primary practice located at 9143 Philips Hwy Suite 300, Jacksonville FL 32256-1366. The organization recently has 10 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Home Infusion, Ambulatory Health Care Facilities / Infusion Therapy, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Coram Alternate Site Services Inc can be contacted via phone (904) 363-3089, or through Lacavich, Tricia via phone (314) 306-3255.

Contact Information

Primary practice address
9143 Philips Hwy Suite 300 Jacksonville FL 32256-1366
Fax: (904) 363-2159
Website:
Authorized official contact:
Name: Lacavich, Tricia

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X HHA20222096 Florida
Agencies / Home Infusion 251F00000X HHA20222096 Florida
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X HHA20222096 Florida
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X PH13472 Florida
Suppliers / Pharmacy 333600000X PH13472 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X PH13472 Florida
Suppliers / Mail Order Pharmacy 3336M0002X PH13472 Florida
Suppliers / Specialty Pharmacy 3336S0011X PH13472 Florida
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X PH13472 Florida

Profile Details

NPI number 1437161999
LBN Legal business name Coram Alternate Site Services Inc
DBA Doing business as Coram Cvs/Specialty Infusion Services
Authorized official Lacavich, Tricia
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 13th, 2006
Last updated Mar 7th, 2023 - about 8 months 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 1437161999 NPPES
Florida Other HHA20222096 HOME HEALTH AGENCY
Florida Other PH13472 HOME HEALTH AGENCY
Florida MEDICAID 105458900 HOME HEALTH AGENCY
Florida MEDICAID 105458901 HOME HEALTH AGENCY
Florida Other 1076149 HOME HEALTH AGENCY

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