Organization · Type 2 NPI

Coram Alternate Site Services, Inc.

Infusion Therapy Clinic/Center · Earth City, MO

NPI number 1528297975 Active

Practice location

13205 Lakefront Dr
Earth City, MO 63045-1503

Call (314) 656-5110 Map

Fax (314) 656-5005

Mailing address

PO Box 809160
Chicago, IL 60680-9160

Specialties and licenses

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

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

NPI record

NPI: 1528297975
Entity type: Organization (Type 2)
Issued: Jul 7, 2009
Last updated: Oct 20, 2022
Status: Active
Subpart: Yes of Coram Alternate Site Services, Inc.

Other names

<unavail>
Coram Specialty Infusion Services, An Apria Healthcare Company · doing business as
Coram Specialty Infusion Services, An Apria Healthcare Company · 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 1528297975

Coram Alternate Site Services, Inc.'s National Provider Identifier is 1528297975, issued on Jul 7, 2009. The primary taxonomy on file is Infusion Therapy Clinic/Center (261QI0500X), and the practice location is in Earth City, MO. The record was last updated on Oct 20, 2022.