Coram Alternate Site Services Inc in Jacksonville - Infusion Therapy

Coram Alternate Site Services Inc - NPI 1437161999

Coram Alternate Site Services Inc is a Infusion Therapy in Jacksonville, Florida. Coram Alternate Site Services Inc practices all healthcare services and medical treatments related to Infusion Therapy. The NPI Number for Coram Alternate Site Services Inc is 1437161999. The last update date is 2023-03-07.

Coram Alternate Site Services Inc's current location address is 9143 Philips Hwy, Jacksonville, Florida. You can contact this provider via phone number 9043633089 and fax number 9043632159. The mailing address for Coram Alternate Site Services Inc is 9143 Philips Hwy, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Coram Alternate Site Services Inc
Address 9143 Philips Hwy, Jacksonville, Florida
Phone Number 9043633089
Fax Number 9043632159
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Lacavich Tricia
Telephone Number 3143063255

NPI Number Detail

NPI Number 1437161999
Provider Enumeration Date 2006-08-13
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 9143 Philips Hwy
City Jacksonville
State Florida (FL)
Post Code 322561366
Phone Number 9043633089
Fax Number 9043632159

Provider's Primary Taxonomy Detail

Speciality Infusion Therapy
Taxonomy 261Qi0500X
Licence No HHA20222096
Definition:
Administers intravenous medications, nutrition and biotherapy agents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
HHA20222096 FL HOME HEALTH AGENCY
PH13472 FL RX LICENSE
105458900 FL --
105458901 FL --
1076149 NCPDP

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FAQs about Coram Alternate Site Services Inc

What is the unique identification code assigned to Coram Alternate Site Services Inc by the Centers for Medicare & Medicaid Services?

The Coram Alternate Site Services Inc has been issued the NPI (National Provider Identifier) 1437161999. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Coram Alternate Site Services Inc is physically located?

The Coram Alternate Site Services Inc is situated at the following address: 9143 Philips Hwy, Jacksonville, FL 322561366.

What is Coram Alternate Site Services Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Coram Alternate Site Services Inc is Infusion Therapy, and the taxonomy classification code that categorizes this area of expertise is 261Qi0500X.

On what date was the 1437161999 assigned to Coram Alternate Site Services Inc?

The Coram Alternate Site Services Inc was issued its 1437161999 on 2006-08-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Coram Alternate Site Services Inc's details last updated?

The information pertaining to the Coram Alternate Site Services Inc, including its address, specialty, and other details, was most recently updated on 2023-03-07.

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