Coram Healthcare Corporation Of Utah in Murray - Infusion Therapy

Coram Healthcare Corporation Of Utah - NPI 1316046915

Coram Healthcare Corporation Of Utah is a Infusion Therapy in Murray, Utah. Coram Healthcare Corporation Of Utah practices all healthcare services and medical treatments related to Infusion Therapy. The NPI Number for Coram Healthcare Corporation Of Utah is 1316046915. The last update date is 2023-03-07.

Coram Healthcare Corporation Of Utah's current location address is 120 W Vine St, Murray, Utah. You can contact this provider via phone number 8017131800 and fax number 8017131810. The mailing address for Coram Healthcare Corporation Of Utah is 120 W Vine St, Murray, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Coram Healthcare Corporation Of Utah
Address 120 W Vine St, Murray, Utah
Phone Number 8017131800
Fax Number 8017131810
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1316046915
Provider Enumeration Date 2006-09-21
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 120 W Vine St
City Murray
State Utah (UT)
Post Code 841074774
Phone Number 8017131800
Fax Number 8017131810

Provider's Primary Taxonomy Detail

Speciality Infusion Therapy
Taxonomy 261Qi0500X
Licence No 2004-HHA-593
Definition:
Administers intravenous medications, nutrition and biotherapy agents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4608254 NCPDP
315625-1704 UT RX LICENSE

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FAQs about Coram Healthcare Corporation Of Utah

What is the Coram Healthcare Corporation Of Utah's 1316046915?

The Coram Healthcare Corporation Of Utah's NPI (National Provider Identifier) Number is 1316046915. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Coram Healthcare Corporation Of Utah is physically located?

The Coram Healthcare Corporation Of Utah is situated at the following address: 120 W Vine St, Murray, UT 841074774.

What is Coram Healthcare Corporation Of Utah's specialized field of practice, and what is the corresponding taxonomy classification code?

The Coram Healthcare Corporation Of Utah's area of specialization is Infusion Therapy, and the corresponding taxonomy code that categorizes this field of practice is 261Qi0500X.

On what date did the Coram Healthcare Corporation Of Utah receive the assignment of its 1316046915 from the Centers for Medicare & Medicaid Services?

The Coram Healthcare Corporation Of Utah was issued its 1316046915 by the Centers for Medicare & Medicaid Services on 2006-09-21.

As of what date were the details pertaining to Coram Healthcare Corporation Of Utah last refreshed?

The information related to the Coram Healthcare Corporation Of Utah, including its address, specialty, and other relevant details, was last updated on 2023-03-07.

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