Codac INC
Clinic/Center, Methadone Clinic in Newport, Rhode Island
1043436785- Practice location
- 93 Thames St, Codac Newport, Newport, RI 02840
- Phone
- 401-846-4150
- Fax
- 401-846-9340
- Last updated
- December 21, 2021
Codac INC is a healthcare organization based in Newport, RI. Codac INC practices in Newport, RI. The NPI Number for Codac INC is 1043436785 and holds a License No. 605.4 (RI). The current practice location address for Codac INC is 93 Thames St, Codac Newport, Newport, RI 02840 and can be reached out via phone at 401-846-4150 and via fax at 401-846-9340.
Provider Profile Details
- NPI Number
- 1043436785
- Provider Name
- Codac INC
- Provider Entity Type
- Organization
- Address
- 93 Thames St, Codac Newport, Newport, RI 02840
- Phone Number
- 401-846-4150
- Fax Number
- 401-846-9340
- Primary Taxonomy
- Clinic/Center, Methadone Clinic · 261QM2800X
- Organization Subpart
- No
- Authorized Official
- Ms. Alisha M Bourdeau, BS · Cfo · 401-275-5038
- Other Names
- Codac Newport (Doing Business As)
- Provider Enumeration Date
- April 18, 2007
- Last Update Date
- December 21, 2021
- Certification Date
- December 21, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 93 Thames St
Codac Newport
Newport, RI 02840 - City
- Newport
- State
- Rhode Island
- Zip
- 02840
- Phone Number
- 401-846-4150
- Fax Number
- 401-846-9340
Provider Business Mailing Address Details
- Address
- 1052 Park Ave
Cranston, RI 02910 - City
- Cranston
- State
- RI
- Zip
- 02910
- Phone Number
- 401-275-5038
- Fax Number
- 401-942-3590
License Information
- License Number (1)
- 605.4
- License State (1)
- RI
- Taxonomy (1)
- Public Health or Welfare · 251K00000X
- License Number (2)
- 605.4
- License State (2)
- RI
- Taxonomy (2)
- Clinic/Center, Methadone Clinic · 261QM2800X
- License Number (3)
- ACF01632-05
- License State (3)
- RI
- Taxonomy (3)
- Clinic/Center, Primary Care · 261QP2300X
- License Number (4)
- 605.4
- License State (4)
- RI
- Taxonomy (4)
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
- License Number (5)
- 605.04
- License State (5)
- RI
- Taxonomy (5)
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
- License Number (6)
- 605.4
- License State (6)
- RI
- Taxonomy (6)
- Rehabilitation, Substance Use Disorder Unit · 276400000X
- Taxonomy (7)
- Peer Specialist · 175T00000X
- License Number (8)
- ACF01632-05
- License State (8)
- RI
- Taxonomy (8)
- Family Medicine, Addiction Medicine · 207QA0401X
- License Number (9)
- 605.04
- License State (9)
- RI
- Taxonomy (9)
- Clinic/Center, Methadone Clinic · 261QM2800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Codac INC?
The NPI number of Codac INC is 1043436785. It was assigned on April 18, 2007 and is currently active in the NPPES registry.
What is the specialty of Codac INC?
Codac INC is registered under the primary taxonomy Clinic/Center, Methadone Clinic (code 261QM2800X), licensed in RI under license number 605.4.
Where does Codac INC practice?
The practice location is 93 Thames St, Codac Newport, Newport, RI 02840. The office can be reached at 401-846-4150 (phone) or 401-846-9340 (fax).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043436785 directly on the NPPES registry website.