CODAC HEALTH RECOVERY AND WELLNESS NPI 1649911157

NPI Information

NPI: 1649911157
Provider Name: CODAC HEALTH RECOVERY AND WELLNESS
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
4585 E SPEEDWAY BLVD
TUCSON, AZ
ZIP 85712
Phone: (520) 327-4505
Get Directions

CODAC HEALTH RECOVERY AND WELLNESS is a multi-specialty clinic center in Tucson, AZ. CODAC HEALTH RECOVERY AND WELLNESS NPI is 1649911157. The provider is registered as an organization entity type.

The provider's business location address is:

4585 E SPEEDWAY BLVD
TUCSON, AZ
ZIP 85712-309
Phone: (520) 327-4505
Fax: (520) 202-1889

The provider's authorized official is Paul Axinn .
The authorized official title is Contracts And Credentialing Manager and has the following contact phone number (520) 202-1755.

The enumeration date for this NPI number is 4/6/2022 and was last updated on 4/6/2022.

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	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QP2300X	Clinic/Center	Primary Care	No
3	261QM1300X	Clinic/Center	Multi-Specialty	Yes

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 »