Codac INC
Public Health or Welfare in Cranston, Rhode Island
1164923553- Practice location
- 3 Regan CT, Cranston, RI 02920
- Phone
- 401-462-3530
- Fax
- 401-462-3529
- Last updated
- April 25, 2019
Codac INC is a healthcare organization based in Cranston, RI. Codac INC practices in Cranston, RI. The NPI Number for Codac INC is 1164923553 and holds a License No. 605.08 (RI). The current practice location address for Codac INC is 3 Regan CT, Cranston, RI 02920 and can be reached out via phone at 401-462-3530 and via fax at 401-462-3529.
Provider Profile Details
- NPI Number
- 1164923553
- Provider Name
- Codac INC
- Provider Entity Type
- Organization
- Address
- 3 Regan CT, Cranston, RI 02920
- Phone Number
- 401-462-3530
- Fax Number
- 401-462-3529
- Primary Taxonomy
- Public Health or Welfare · 251K00000X
- Organization Subpart
- No
- Authorized Official
- Alisha M Bourdeau · Cfo · 401-275-5038
- Provider Enumeration Date
- February 22, 2018
- Last Update Date
- April 25, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3 Regan CT
Cranston, RI 02920 - City
- Cranston
- State
- Rhode Island
- Zip
- 02920
- Phone Number
- 401-462-3530
- Fax Number
- 401-462-3529
Provider Business Mailing Address Details
- Address
- 1052 Park Ave
Cranston, RI 02910-3225 - City
- Cranston
- State
- RI
- Zip
- 02910-3225
- Phone Number
- 401-275-5038
- Fax Number
- 401-942-3590
License Information
- Taxonomy (1)
- Peer Specialist · 175T00000X
- License Number (2)
- 605.08
- License State (2)
- RI
- Taxonomy (2)
- Clinic/Center, Methadone Clinic · 261QM2800X
- License Number (3)
- 605.08
- License State (3)
- RI
- Taxonomy (3)
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
- License Number (4)
- 605.08
- License State (4)
- RI
- Taxonomy (4)
- Public Health or Welfare · 251K00000X · 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 1164923553. It was assigned on February 22, 2018 and is currently active in the NPPES registry.
What is the specialty of Codac INC?
Codac INC is registered under the primary taxonomy Public Health or Welfare (code 251K00000X), licensed in RI under license number 605.08.
Where does Codac INC practice?
The practice location is 3 Regan CT, Cranston, RI 02920. The office can be reached at 401-462-3530 (phone) or 401-462-3529 (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 1164923553 directly on the NPPES registry website.