Provider Demographics
NPI:1053641787
Name:CORAM ALTERNATE SITE SERVICES, INC.
Entity Type:Organization
Organization Name:CORAM ALTERNATE SITE SERVICES, INC.
Other - Org Name:CORAM SPECIALTY INFUSION SERVICES, AN APRIA HEALTHCARE COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, CFO, TREASURER AND CHAIR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:T
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-672-8631
Mailing Address - Street 1:2431 W MAIN ST
Mailing Address - Street 2:SUITE 801
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-1217
Mailing Address - Country:US
Mailing Address - Phone:334-794-1126
Mailing Address - Fax:334-793-0592
Practice Address - Street 1:1675 BROADWAY
Practice Address - Street 2:SUITE 900
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-4675
Practice Address - Country:US
Practice Address - Phone:303-672-8631
Practice Address - Fax:303-298-0047
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CORAM ALTERNATE SITE SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-31
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy