Codac Healthcare, LLC
Clinic/Center, Multi-Specialty in Providence, Rhode Island
1447944111- Practice location
- 349 Huntington Ave, Providence, RI 02909-3005
- Phone
- 401-942-1450
- Fax
- 401-946-1550
- Last updated
- June 6, 2023
Codac Healthcare, LLC is a healthcare organization based in Providence, RI. Codac Healthcare, LLC practices in Providence, RI. The NPI Number for Codac Healthcare, LLC is 1447944111. The current practice location address for Codac Healthcare, LLC is 349 Huntington Ave, Providence, RI 02909-3005 and can be reached out via phone at 401-942-1450 and via fax at 401-946-1550.
Provider Profile Details
- NPI Number
- 1447944111
- Provider Name
- Codac Healthcare, LLC
- Provider Entity Type
- Organization
- Address
- 349 Huntington Ave, Providence, RI 02909-3005
- Phone Number
- 401-942-1450
- Fax Number
- 401-946-1550
- Primary Taxonomy
- Clinic/Center, Multi-Specialty · 261QM1300X
- Organization Subpart
- No
- Authorized Official
- Ms. Alisha Bourdeau · Cfo · 401-275-5038
- Provider Enumeration Date
- June 6, 2023
- Last Update Date
- June 6, 2023
- Certification Date
- June 6, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 349 Huntington Ave
Providence, RI 02909-3005 - City
- Providence
- State
- Rhode Island
- Zip
- 02909-3005
- Phone Number
- 401-942-1450
- Fax Number
- 401-946-1550
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
- Clinic/Center, Multi-Specialty · 261QM1300X · 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 Healthcare, LLC?
The NPI number of Codac Healthcare, LLC is 1447944111. It was assigned on June 6, 2023 and is currently active in the NPPES registry.
What is the specialty of Codac Healthcare, LLC?
Codac Healthcare, LLC is registered under the primary taxonomy Clinic/Center, Multi-Specialty (code 261QM1300X).
Where does Codac Healthcare, LLC practice?
The practice location is 349 Huntington Ave, Providence, RI 02909-3005. The office can be reached at 401-942-1450 (phone) or 401-946-1550 (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 1447944111 directly on the NPPES registry website.