Codac Inc
LBN: Codac Inc
Codac Inc is an health care organization with primary practice located at 600 Pawtucket Ave , Pawtucket RI 02860-6059. The organization recently has 6 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 / Primary Care, Ambulatory Health Care Facilities / Rehabilitation, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Methadone is the primary health care specialty.
Codac Inc can be contacted via phone (401) 808-6278, or through Bourdeau, Alisha M via phone (401) 275-5038.
Contact Information
Primary practice address
600 Pawtucket Ave
Pawtucket RI 02860-6059
Phone: (401) 808-6278
Fax: (401) 808-6957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | ||
| Agencies / Public Health or Welfare | 251K00000X | ||
| Ambulatory Health Care Facilities / Methadone | 261QM2800X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1629632609 |
|---|---|
| LBN Legal business name | Codac Inc |
| DBA Doing business as | |
| Authorized official | Bourdeau, Alisha M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2019 |
| Last updated | Dec 21st, 2021 - about 5 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 | 1629632609 | NPPES |
| Rhode Island | MEDICAID | CO71983 |
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