Organization · Type 2 NPI

Coram Alternate Site Services, Inc.

Home Infusion Agency · Portland, ME

NPI number 1932477809 Active

Practice location

191 Marginal Way
Portland, ME 04101-3387

Call (508) 989-9373 Map

Mailing address

PO Box 809160
Chicago, IL 60680-9160

Specialties and licenses

Taxonomy	Code	License
Home Health Agency	251E00000X	None listed
Home Infusion Agency Primary	251F00000X	None listed

Home Infusion Agency: Definition to come...

11 other providers at this address

NPI record

NPI: 1932477809
Entity type: Organization (Type 2)
Issued: Dec 7, 2011
Last updated: Mar 7, 2023
Status: Active
Subpart: Yes of Coram Alternate Site Services, Inc.

Other names

<unavail>
Coram Cvs/specialty Infusion Services · doing business as
Coram Cvs/specialty Infusion Services · doing business as

Authorized official

Tricia Lacavich
President
(314) 306-3255

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About NPI 1932477809

Coram Alternate Site Services, Inc.'s National Provider Identifier is 1932477809, issued on Dec 7, 2011. The primary taxonomy on file is Home Infusion Agency (251F00000X), and the practice location is in Portland, ME. The record was last updated on Mar 7, 2023.