Coram Alternate Site Services, Inc.

NPI #1568404887 in Wichita, Kansas

Provider Information

NPI Number: 1568404887
Entity Type: Organization
Organization Name: Coram Alternate Site Services, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: CORAM ALTERNATE SITE SERVICES, INC.
Primary Specialty: Home Infusion
Enumeration Date: Jun 12, 2006
Last Updated: Oct 20, 2022

Practice Location

Address: 8200 E 34TH CIR N
Address 2: SUITE 1001
City: Wichita
State: Kansas
ZIP Code: 67226-1349
Phone: (316) 683-9414

Authorized Official

Name: TRICIA L LACAVICH
Title: PRESIDENT
Phone: (318) 407-1785

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X
Clinic/Center - Infusion Therapy — Infusion Therapy	261QI0500X
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition	332BP3500X
Home Infusion	251F00000X	Primary

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