Codac Inc
LBN: Codac Inc
Codac Inc is an health care organization with primary practice located at 1052 Park Ave , Cranston RI 02910-3225. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Codac Inc can be contacted via phone (401) 275-5038, or through Bourdeau, Alisha M via phone (401) 275-5038.
Contact Information
Primary practice address
1052 Park Ave
Cranston RI 02910-3225
Phone: (401) 275-5038
Fax: (401) 942-3590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ACF01632 | Rhode Island |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | ACF01632 | Rhode Island |
Profile Details
| NPI number | 1467988683 |
|---|---|
| LBN Legal business name | Codac Inc |
| DBA Doing business as | |
| Authorized official | Bourdeau, Alisha M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 8th, 2017 |
| Last updated | Dec 21st, 2021 - about 4 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 | 1467988683 | NPPES |
| Rhode Island | MEDICAID | CI01382 |
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