Codac INC
Clinic/Center, Methadone Clinic in Providence, Rhode Island
1992530109- Practice location
- 45 Royal Little Dr, Providence, RI 02904-1882
- Phone
- 401-275-5038
- Fax
- 401-942-3590
- Last updated
- September 6, 2024
Codac INC is a healthcare organization based in Providence, RI. Codac INC practices in Providence, RI. The NPI Number for Codac INC is 1992530109. The current practice location address for Codac INC is 45 Royal Little Dr, Providence, RI 02904-1882 and can be reached out via phone at 401-275-5038 and via fax at 401-942-3590.
Provider Profile Details
- NPI Number
- 1992530109
- Provider Name
- Codac INC
- Provider Entity Type
- Organization
- Address
- 45 Royal Little Dr, Providence, RI 02904-1882
- Phone Number
- 401-275-5038
- Fax Number
- 401-942-3590
- Primary Taxonomy
- Clinic/Center, Methadone Clinic · 261QM2800X
- Organization Subpart
- No
- Authorized Official
- Ms. Alisha M Bourdeau · Chief Financial Officer · 401-275-5038
- Other Names
- Codac Behavioral Healthcare (Doing Business As)
- Provider Enumeration Date
- September 6, 2024
- Last Update Date
- September 6, 2024
- Certification Date
- September 6, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 45 Royal Little Dr
Providence, RI 02904-1882 - City
- Providence
- State
- Rhode Island
- Zip
- 02904-1882
- Phone Number
- 401-275-5038
- 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
- 401-275-5038
License Information
- Taxonomy (1)
- Public Health or Welfare · 251K00000X
- Taxonomy (2)
- Clinic/Center, Methadone Clinic · 261QM2800X · Primary
- Taxonomy (3)
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Methadone Clinic providers near Providence, RI
View all Clinic/Center, Methadone Clinic providers in Providence →Frequently Asked Questions
What is the NPI number of Codac INC?
The NPI number of Codac INC is 1992530109. It was assigned on September 6, 2024 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).
Where does Codac INC practice?
The practice location is 45 Royal Little Dr, Providence, RI 02904-1882. The office can be reached at 401-275-5038 (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 1992530109 directly on the NPPES registry website.