Coram Alternate Site Services Inc in Redmond - Parenteral & Enteral Nutrition
Coram Alternate Site Services Inc - NPI 1720187362
Coram Alternate Site Services Inc is a Parenteral & Enteral Nutrition in Redmond, Washington. 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 1720187362. The last update date is 2023-03-07.
Coram Alternate Site Services Inc's current location address is 14935 Ne 87th St, Redmond, Washington. You can contact this provider via phone number 4254500076 and fax number 4254507003. The mailing address for Coram Alternate Site Services Inc is 14935 Ne 87th St, Redmond, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coram Alternate Site Services Inc |
|---|---|
| Address | 14935 Ne 87th St, Redmond, Washington |
| Phone Number | 4254500076 |
| Fax Number | 4254507003 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lacavich Tricia |
| Telephone Number | 3143063255 |
NPI Number Detail
| NPI Number | 1720187362 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 14935 Ne 87th St |
|---|---|
| City | Redmond |
| State | Washington (WA) |
| Post Code | 980523474 |
| Phone Number | 4254500076 |
| Fax Number | 4254507003 |
Provider's Primary Taxonomy Detail
| Speciality | Parenteral & Enteral Nutrition |
|---|---|
| Taxonomy | 332Bp3500X |
| Licence No | CF00005203 |
|
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 |
|---|---|---|---|
| 4924418 | NCPDP | ||
| 0 | WA | RX LICENSE |
Post Comment/ Review Below
What is the unique identifier 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) 1720187362. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Coram Alternate Site Services Inc's facilities are geographically located?
The facilities of Coram Alternate Site Services Inc are physically situated at the following location: 14935 Ne 87Th St, Redmond, WA, 980523474.
What is Coram Alternate Site Services Inc's area of expertise and its corresponding taxonomy classification?
The Coram Alternate Site Services Inc's field of specialization is Parenteral & Enteral Nutrition, and it falls under the taxonomy code 332Bp3500X, which categorizes healthcare providers based on their areas of practice.
On what date did the Coram Alternate Site Services Inc receive its 1720187362 assignment from the Centers for Medicare & Medicaid Services?
The Coram Alternate Site Services Inc was assigned its 1720187362 by the Centers for Medicare & Medicaid Services on 2006-09-21.
When was the information related to Coram Alternate Site Services Inc most recently updated or refreshed?
The details pertaining to the Coram Alternate Site Services Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.
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