Codac Behavioral Healthcare
Community/Behavioral Health in Cranston, Rhode Island
1780082743- Practice location
- 1052 Park Ave, Cranston, RI 02910-3225
- Phone
- 401-275-5039
- Fax
- 401-942-3590
- Last updated
- December 8, 2014
Codac Behavioral Healthcare is a healthcare organization based in Cranston, RI. Codac Behavioral Healthcare practices in Cranston, RI. The NPI Number for Codac Behavioral Healthcare is 1780082743 and holds a License No. CDP00575 (RI). The current practice location address for Codac Behavioral Healthcare is 1052 Park Ave, Cranston, RI 02910-3225 and can be reached out via phone at 401-275-5039 and via fax at 401-942-3590.
Provider Profile Details
- NPI Number
- 1780082743
- Provider Name
- Codac Behavioral Healthcare
- Provider Entity Type
- Organization
- Address
- 1052 Park Ave, Cranston, RI 02910-3225
- Phone Number
- 401-275-5039
- Fax Number
- 401-942-3590
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Ms. Alisha Bourdeau · Director Of Finance · 401-275-5039
- Provider Enumeration Date
- December 8, 2014
- Last Update Date
- December 8, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1052 Park Ave
Cranston, RI 02910-3225 - City
- Cranston
- State
- Rhode Island
- Zip
- 02910-3225
- Phone Number
- 401-275-5039
- Fax Number
- 401-942-3590
Provider Business Mailing Address Details
- Address
- 1052 Park Ave
Cranston, RI 02910-3225 - City
- Cranston
- State
- RI
- Zip
- 02910-3225
- Phone Number
- 401-275-5039
- Fax Number
- 401-942-3590
License Information
- License Number
- CDP00575
- License State
- RI
- Taxonomy
- Community/Behavioral Health · 251S00000X · 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 Behavioral Healthcare?
The NPI number of Codac Behavioral Healthcare is 1780082743. It was assigned on December 8, 2014 and is currently active in the NPPES registry.
What is the specialty of Codac Behavioral Healthcare?
Codac Behavioral Healthcare is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in RI under license number CDP00575.
Where does Codac Behavioral Healthcare practice?
The practice location is 1052 Park Ave, Cranston, RI 02910-3225. The office can be reached at 401-275-5039 (phone) or 401-942-3590 (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 1780082743 directly on the NPPES registry website.