CODA INC. NPI 1437213865

NPI Details

CODA, INC. is a substance abuse rehabilitation facility in Portland, OR. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. CODA, INC. NPI is 1437213865. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Comprehensive Options For Drug Abusers, Inc..

The provider's business location address is:

1027 E BURNSIDE ST
PORTLAND, OR
ZIP 97214-328
Phone: (503) 239-8400
Fax: (503) 239-8407

The provider's authorized official is Timothy T. Hartnett .
The authorized official title is Executive Director and has the following contact phone number (503) 239-8400.

The CLIA number assigned to this NPI record is 38D1010842 - community clinic with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)
• Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure (HCPCS:G2078)
• All inclusive payment for services related to highly coordinated and integrated opioid use disorder (oud) treatment services furnished for the demonstration project (HCPCS:G2172)
• Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for (HCPCS:G2077)
• Intake activities, including initial medical examination that is a complete, fully documented physical evaluation and initial assessment by a program physician or a primary care physician, or an authorized healthcare professional under the supervision of a (HCPCS:G2076)

The enumeration date for this NPI number is 12/20/2006 and was last updated on 6/21/2018.

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:

Other Identifiers

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