Codac At Broadway

LBN: Codac Health, Recovery & Wellness, Inc.
Codac At Broadway is an health care organization with primary practice located at 3130 E Broadway Blvd , Tucson AZ 85716-5863. 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) 327-4505, or through Regnier, Dennis via phone (520) 327-4505.

Contact Information

Primary practice address
3130 E Broadway Blvd Tucson AZ 85716-5863
Phone: (520) 327-4505
Fax: (520) 202-1889
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 1801207642
LBN Legal business name Codac Health, Recovery & Wellness, Inc.
DBA Doing business as Codac At Broadway
Authorized official Regnier, Dennis
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801207642 NPPES
Arizona MEDICAID 968685

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