Organization · Type 2 NPI

Coram Alternate Site Services, Inc.

Infusion Therapy Clinic/Center · Morgantown, WV

NPI number 1457765521 Active

Practice location

1271 Suncrest Town Centre Dr, Ste 1271
Morgantown, WV 26505-1876

Call (303) 672-8631 Map

Mailing address

555 17th St, Suite 1500
Denver, CO 80202-3950

Specialties and licenses

Taxonomy	Code	License
Infusion Therapy Clinic/Center Primary	261QI0500X	None listed

Infusion Therapy Clinic/Center: Definition to come...

Another provider at this address

Felix Brizuela Do PLLCNeurology Physician Morgantown, WV NPI 1184952442

NPI record

NPI: 1457765521
Entity type: Organization (Type 2)
Issued: Jun 17, 2014
Last updated: Oct 20, 2022
Status: Active
Subpart: Yes of Coram Alternate Site Services, Inc.

Other names

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Coram Cvs/specialty Infusion Services · doing business as
Coram Cvs/specialty Infusion Services · doing business as

Authorized official

Tricia L Lacavich
President
(318) 407-1785

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1457765521

Coram Alternate Site Services, Inc.'s National Provider Identifier is 1457765521, issued on Jun 17, 2014. The primary taxonomy on file is Infusion Therapy Clinic/Center (261QI0500X), and the practice location is in Morgantown, WV. The record was last updated on Oct 20, 2022.