Coram Healthcare Corporation Of Southern California in Ontario - Durable Medical Equipment & Medical Supplies
Coram Healthcare Corporation Of Southern California - NPI 1740239623
Coram Healthcare Corporation Of Southern California is a Durable Medical Equipment & Medical Supplies in Ontario, California. Coram Healthcare Corporation Of Southern California practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Coram Healthcare Corporation Of Southern California is 1740239623. The last update date is 2023-03-07.
Coram Healthcare Corporation Of Southern California's current location address is 4355 E Lowell St, Ontario, California. You can contact this provider via phone number 9096050010 and fax number 9066055771. The mailing address for Coram Healthcare Corporation Of Southern California is 4355 E Lowell St, Ontario, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coram Healthcare Corporation Of Southern California |
|---|---|
| Address | 4355 E Lowell St, Ontario, California |
| Phone Number | 9096050010 |
| Fax Number | 9066055771 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lacavich Tricia |
| Telephone Number | 3143063255 |
NPI Number Detail
| NPI Number | 1740239623 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 4355 E Lowell St |
|---|---|
| City | Ontario |
| State | California (CA) |
| Post Code | 917612225 |
| Phone Number | 9096050010 |
| Fax Number | 9066055771 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | PHY49297 |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PHY49297 | CA | PHARMACY LICENSE | |
| PHA 408840 | CA | -- | |
| 553708 | NCPDP | ||
| 2400748 | CA | HOME HEALTH AGENCY |
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What is the unique 10-digit identifier code issued to Coram Healthcare Corporation Of Southern California by the Centers for Medicare & Medicaid Services?
The Coram Healthcare Corporation Of Southern California has been assigned the NPI (National Provider Identifier) 1740239623 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Coram Healthcare Corporation Of Southern California's physical address?
The Coram Healthcare Corporation Of Southern California is physically located at 4355 E Lowell St, in the city of Ontario, CA, with the postal code 917612225.
What is the Coram Healthcare Corporation Of Southern California's specialty and taxonomy code?
The Coram Healthcare Corporation Of Southern California's specialty is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740239623 to Coram Healthcare Corporation Of Southern California?
The Centers for Medicare & Medicaid Services originally issued the 1740239623 to Coram Healthcare Corporation Of Southern California on 2006-05-09.
When was the information regarding Coram Healthcare Corporation Of Southern California most recently updated?
The details pertaining to the Coram Healthcare Corporation Of Southern California, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.
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