Codac Cobblestone Court
LBN: Codac Health, Recovery & Wellness, Inc.
Codac Cobblestone Court is an health care organization with primary practice located at 1075 E Fort Lowell Rd , Tucson AZ 85719-2159. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Codac Health, Recovery & Wellness, Inc. can be contacted via phone (520) 327-4505, or through Regnier, Dennis via phone (520) 327-4505.
Contact Information
Primary practice address
1075 E Fort Lowell Rd
Tucson AZ 85719-2159
Phone: (520) 327-4505
Fax: (520) 202-1889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | OTC | Arizona |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | OTC | Arizona |
Profile Details
| NPI number | 1376931493 |
|---|---|
| LBN Legal business name | Codac Health, Recovery & Wellness, Inc. |
| DBA Doing business as | Codac Cobblestone Court |
| Authorized official | Regnier, Dennis |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 23rd, 2014 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376931493 | NPPES |
| Arizona | MEDICAID | 025936 |
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