Codac Inc

LBN: Codac Inc
Codac Inc is an health care organization with primary practice located at 3 Regan Ct , Cranston RI 02920. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Agencies / Public Health or Welfare, Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Agencies / Public Health or Welfare is the primary health care specialty. Codac Inc can be contacted via phone (401) 462-3530, or through Bourdeau, Alisha M via phone (401) 275-5038.

Contact Information

Primary practice address
3 Regan Ct Cranston RI 02920
Phone: (401) 462-3530
Fax: (401) 462-3529
Website:
Map and Directions
Authorized official contact:
Name: Bourdeau, Alisha M
Phone: (401) 275-5038

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Agencies / Public Health or Welfare 251K00000X 605.08 Rhode Island
Ambulatory Health Care Facilities / Methadone 261QM2800X 605.08 Rhode Island
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 605.08 Rhode Island

Profile Details

NPI number 1164923553
LBN Legal business name Codac Inc
DBA Doing business as
Authorized official Bourdeau, Alisha M
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2018
Last updated Apr 25th, 2019 - about 6 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 1164923553 NPPES
Rhode Island MEDICAID CO71983

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