Coram Alternate Site Services INC
Home Infusion in Fairfield, New Jersey
1063432672- Practice location
- 180 Passaic Ave, Fairfield, NJ 07004-3516
- Phone
- 973-756-5963
- Fax
- —
- Last updated
- March 7, 2023
Coram Alternate Site Services INC is a healthcare organization based in Fairfield, NJ. Coram Alternate Site Services INC practices in Fairfield, NJ. The NPI Number for Coram Alternate Site Services INC is 1063432672 and holds a License No. HP0218401 (NJ). The current practice location address for Coram Alternate Site Services INC is 180 Passaic Ave, Fairfield, NJ 07004-3516 and can be reached out via phone at 973-756-5963.
Provider Profile Details
- NPI Number
- 1063432672
- Provider Name
- Coram Alternate Site Services INC
- Provider Entity Type
- Organization
- Address
- 180 Passaic Ave, Fairfield, NJ 07004-3516
- Phone Number
- 973-756-5963
- Primary Taxonomy
- Home Infusion · 251F00000X
- Organization Subpart
- Yes
- Parent Organization
- Coram Alternate Site Services INC
- Authorized Official
- Tricia Lacavich · President · 314-306-3255
- Other Names
- Coram Cvs/Specialty Infusion Services (Doing Business As)
- Provider Enumeration Date
- July 20, 2006
- Last Update Date
- March 7, 2023
- Certification Date
- December 16, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 180 Passaic Ave
Fairfield, NJ 07004-3516 - City
- Fairfield
- State
- New Jersey
- Zip
- 07004-3516
- Phone Number
- 973-756-5963
Provider Business Mailing Address Details
- Address
- Po Box 809160
Chicago, IL 60680-9160 - City
- Chicago
- State
- IL
- Zip
- 60680-9160
- Phone Number
- 303-672-8631
- Fax Number
- 303-298-0047
License Information
- License Number (1)
- HP0218401
- License State (1)
- NJ
- Taxonomy (1)
- Home Health · 251E00000X
- License Number (2)
- HP0218401
- License State (2)
- NJ
- Taxonomy (2)
- Home Infusion · 251F00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Coram Alternate Site Services INC?
The NPI number of Coram Alternate Site Services INC is 1063432672. It was assigned on July 20, 2006 and is currently active in the NPPES registry.
What is the specialty of Coram Alternate Site Services INC?
Coram Alternate Site Services INC is registered under the primary taxonomy Home Infusion (code 251F00000X), licensed in NJ under license number HP0218401.
Where does Coram Alternate Site Services INC practice?
The practice location is 180 Passaic Ave, Fairfield, NJ 07004-3516. The office can be reached at 973-756-5963 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063432672 directly on the NPPES registry website.