Coram Alternate Site Services Inc is an authorized DME supplier for medicare equipments and products.
Coram Alternate Site Services Inc is a Home Infusion Therapy Pharmacy in Boise, Idaho. This organization is also known as sub part of Coram Alternate Site Services Inc. It is located at 11660 W Executive Dr, Boise and it's customer support contact number is 208-323-0303. The authorized person of Coram Alternate Site Services Inc is Craig S Weinert who is President of the pharmacy and his contact number is 401-765-1500. Active license number of Coram Alternate Site Services Inc is 1014PA-PS for Home Infusion Therapy Pharmacy in Idaho. Coram Alternate Site Services Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Coram Alternate Site Services Inc is 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.
Pharmacy Details:
Coram Alternate Site Services Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Coram Alternate Site Services Inc
Type:
Home Infusion Therapy Pharmacy
Location:
11660 W Executive Dr, Boise, Idaho, 83713-8996
Phone:
208-323-0303
Fax:
208-323-0381
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Craig S Weinert
Position:
President
Contact Number:
401-765-1500
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1912953431
Parent Organization:
Coram Alternate Site Services Inc
NPI Enumeration Date:
26 May, 2006
NPI Last Update On:
09 Mar, 2024
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Coram Alternate Site Services Inc are as mentioned below.
Specialization
License Number
State
Status
Home Infusion Therapy Pharmacy
1014PA-PS
Idaho
Primary
Home Health
Secondary
Home Infusion
Secondary
Infusion Therapy
N/A
Idaho
Secondary
Durable Medical Equipment & Medical Supplies
Secondary
Parenteral & Enteral Nutrition
1014PA-PS
Idaho
Secondary
Pharmacy
1014PA-PS
Idaho
Secondary
Community/Retail Pharmacy
1014PA-PS
Idaho
Secondary
Mail Order Pharmacy
1677LS
Idaho
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0021815
Medicaid
Idaho
0028527
Medicaid
Idaho
1677LS
Other
Idaho
Rx License
231894
Medicaid
Oregon
1014PA-PS
Other
Idaho
Rx License
1305906
Other
Ncpdp
298495
Medicaid
Oregon
Medicare Enrollment:
Coram Alternate Site Services Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
9638153497
O20100930090713
Coram Alternate Site Services, Inc.
DME SUPPLIER - PHARMACY
Products Available:
Coram Alternate Site Services Inc has following products available for sale under medicare.
Products
Enteral Equipment And/or Supplies
Enteral Nutrients
Infusion Pumps & Supplies: External Infusion
Infusion Pumps & Supplies: Implanted Infusion
Infusion Pumps & Supplies: Insulin Infusion
Parenteral Equipment And/or Supplies
Parenteral Nutrients
Enteral Nutrients, Equipment And Supplies
Medicare Competitive Bidding Program:
Coram Alternate Site Services Inc participates in medicare competitive bidding program for DME suppliers which means Coram Alternate Site Services Inc has been thoroughly screened by medicare to make sure they meet medicare DME supplier requirements such as quality, accreditation standards etc.
CBSA ID:
CBSA Name:
State
23130
Boise City, ID
Idaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 809160, Chicago, Illinois
Zip:
60680-9160
Phone Number:
866-224-5134
Fax Number:
303-298-0047
Patients can reach Coram Alternate Site Services Inc at 11660 W Executive Dr, Boise, Idaho or can call on customer care at 208-323-0303.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.
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