CODAC INC NPI 1164923553

NPI Information

NPI: 1164923553
Provider Name: CODAC INC
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
3 REGAN CT
CRANSTON, RI
ZIP 02920
Phone: (401) 462-3530
Get Directions

CODAC INC is a public health or welfare in Cranston, RI. CODAC INC NPI is 1164923553. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3 REGAN CT
CRANSTON, RI
ZIP 02920
Phone: (401) 462-3530
Fax: (401) 462-3529

The provider's authorized official is Alisha M Bourdeau .
The authorized official title is Cfo and has the following contact phone number (401) 275-5038.

The enumeration date for this NPI number is 2/22/2018 and was last updated on 4/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist				No
2	261QM2800X	Clinic/Center	Methadone	605.08	RHODE ISLAND	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	605.08	RHODE ISLAND	No
4	251K00000X	Public Health or Welfare		605.08	RHODE ISLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CO71983	MEDICAID	RHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »