Coram Alternate Site Services, Inc., NPI 1528070992
Home Infusion Therapy Pharmacy in Albuquerque, NM, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1528070992
NPI Entity Type Organization
Provider Name Coram Alternate Site Services, Inc.
Subpart of Organization Coram Alternate Site Services, Inc.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 7400 Washington St Ne, Albuquerque, NM, US
Provider Mailing Address Po Box 809160, Chicago, IL, US, 606809160
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Tricia Lacavich
Official Position PRESIDENT
Phone 314-306-3255

Primary Taxonomy

Taxonomy Code

3336H0001X

Taxonomy Name Home Infusion Therapy Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. PH00001736
License State NM
Description Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.

Business Address

Coram Alternate Site Services, Inc.
7400 Washington St Ne

Albuquerque, NM, US

Phone: 505-344-0900
Fax: 505-344-2765

Mailing Address

Coram Alternate Site Services, Inc.
Po Box 809160
Chicago, IL, US
ZIP 606809160
Phone: 303-672-8631
Fax: 303-298-0047

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3336M0002X

Suppliers

Pharmacy

PH00001736 NM No

251E00000X

Agencies

Home Health

6754 NM No

251F00000X

Agencies

Home Infusion

6754 NM No

261QI0500X

Ambulatory Health Care Facilities

Clinic/Center

6754 NM No

332BP3500X

Suppliers

Durable Medical Equipment & Medical Supplies

PH00001736 NM No

333600000X

Suppliers

Pharmacy

PH00001736 NM No

3336C0003X

Suppliers

Pharmacy

PH00001736 NM No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
3176 NM HEALTH CARE FACILITY 01
BC4487991 DEA 01
3208976 NCPDP 01
F4497 NM MEDICAID 05
6754 NM HOME HEALTH AGENCY 01
98953338 NM MEDICAID 05
PH00001736 NM RX LICENSE 01

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
CONNECT https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service 2.16.840.1.113883.3.667.2 OTHER Yes 100 N 6th St Ste 900A, Minneapolis, MN, US

Other Providers in NM, US

NPI Name Taxonomy Address

1598315772

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LMHC Ann Marie M Benavidez

Individual

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Individual

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Organization

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Individual

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Organization

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Individual

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1972511061

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Organization

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1073501508

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Organization

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Alteon Health New Mexico Llc

Organization

Emergency Medicine Physician

5419 N Lovington Hwy

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1477022135

RN MS MPA PMHNP-BC Dawn O'keefe

Individual

Psychiatric/Mental Health Nurse Practitioner

800 E 9th Ave

Truth Or Consequences, NM

1972228351

Juliet Ulibarri

Individual

Clinical Social Worker

6601 Valentine Way

Santa Fe, NM

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