Coram Alternate Site Services Inc in Chicago - Parenteral & Enteral Nutrition
Coram Alternate Site Services Inc - NPI 1609899590
Coram Alternate Site Services Inc is a Parenteral & Enteral Nutrition in Chicago, Illinois. Coram Alternate Site Services Inc practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for Coram Alternate Site Services Inc is 1609899590. The last update date is 2023-03-07.
Coram Alternate Site Services Inc's current location address is Po Box 809160, Chicago, Illinois. You can contact this provider via phone number 4807655043 and fax number 4017330211. The mailing address for Coram Alternate Site Services Inc is Po Box 809160, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coram Alternate Site Services Inc |
|---|---|
| Address | Po Box 809160, Chicago, Illinois |
| Phone Number | 4807655043 |
| Fax Number | 4017330211 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lacavich Tricia |
| Telephone Number | 3143063255 |
NPI Number Detail
| NPI Number | 1609899590 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | Po Box 809160 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606809160 |
| Phone Number | 4807655043 |
| Fax Number | 4017330211 |
Provider's Primary Taxonomy Detail
| Speciality | Parenteral & Enteral Nutrition |
|---|---|
| Taxonomy | 332Bp3500X |
| Licence No | 370000024 |
|
Definition: Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 614380 | NCPDP | ||
| 3002565 | CO | -- | |
| 370000024 | CO | RX LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Coram Alternate Site Services Inc by the Centers for Medicare & Medicaid Services?
The Coram Alternate Site Services Inc has been assigned the NPI (National Provider Identifier) 1609899590 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Coram Alternate Site Services Inc's physical address?
The Coram Alternate Site Services Inc is physically located at Po Box 809160, in the city of Chicago, IL, with the postal code 606809160.
What is the Coram Alternate Site Services Inc's area of specialization and corresponding taxonomy classification?
The Coram Alternate Site Services Inc's specialty field is Parenteral & Enteral Nutrition, and it falls under the taxonomy code 332Bp3500X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1609899590 to Coram Alternate Site Services Inc?
The Coram Alternate Site Services Inc received its 1609899590 assignment from the Centers for Medicare & Medicaid Services on 2006-07-25.
As of what date was the information regarding Coram Alternate Site Services Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Coram Alternate Site Services Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.