Codac At Alvernon

LBN: Codac Health, Recovery & Wellness, Inc.
Codac At Alvernon is an health care organization with primary practice located at 630 N Alvernon Way Ste 161, Tucson AZ 85711-1843. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Codac Health, Recovery & Wellness, Inc. can be contacted via phone (520) 318-9222, or through Regnier, Dennis via phone (520) 327-4505.

Contact Information

Primary practice address
630 N Alvernon Way Ste 161 Tucson AZ 85711-1843
Phone: (520) 318-9222
Fax: (520) 318-3443
Website:
Map and Directions
Authorized official contact:
Name: Regnier, Dennis
Phone: (520) 327-4505

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1174862007
LBN Legal business name Codac Health, Recovery & Wellness, Inc.
DBA Doing business as Codac At Alvernon
Authorized official Regnier, Dennis
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2013
Last updated Sep 25th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174862007 NPPES
Arizona MEDICAID 805051

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