OrganizationActive
Coram Alternate Site Services, Inc.
NPI 1528297975 · Infusion Therapy Clinic/Center · Earth City, MO
Provider details
- NPI number
- 1528297975
- Entity type
- Organization
- Primary specialty
- Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Coram Alternate Site Services, Inc.
- Authorized official
- Tricia Lacavich, President
Practice location
13205 Lakefront Dr
Earth City, MO 63045-1503
Phone: (314) 656-5110
Fax: (314) 656-5005
Mailing address
Po Box 809160
Chicago, IL 60680-9160
Registry dates
- Enumerated
- 2009-07-07
- Last updated
- 2022-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.