Coram Alternate Site Services, INC.
Clinic/Center, Infusion Therapy in Earth City, MO. Organization (NPI-2).
NPI number1528297975
StatusActive
Last updated in NPPESOct 20, 2022
Details
- NPI
- 1528297975
- Entity type
- Organization (NPI-2)
- Legal business name
- Coram Alternate Site Services, INC.
- Organization subpart
- Yes
- Enumeration date
- Jul 7, 2009
- Certification date
- Oct 20, 2022
- Last updated
- Oct 20, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QI0500X | Clinic/Center, Infusion Therapy | – | – | Yes |
Other names
- Coram Specialty Infusion Services, An Apria Healthcare Company (Doing Business As)
Practice location
13205 Lakefront DrEarth City, MO 63045-1503
Phone 314-656-5110 · Fax 314-656-5005
Mailing address
Po Box 809160Chicago, IL 60680-9160
Phone 303-672-8631 · Fax 303-298-0047
Authorized official
Tricia L Lacavich
President
3184071785
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