CODAC INC; NPI #1639755630

Contact Information

CODAC INC

50 HEALTH LN
WARWICK, RI 02886-2711

Phone: 401-384-7300
Fax: 401-384-7483
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rehabilitation, Substance Use Disorder	261QR0405X
Methadone	261QM2800X
Primary Care	261QP2300X
Public Health or Welfare	251K00000X	60	Public Health or Welfare Agency
Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency

Indicates primary specialty

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NPI Profile & details for CODAC INC

NPI Number 1639755630

LBN Legal business name CODAC INC

Authorized official ALISHA BOURDEAU - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/20/2021

Last updated 06/11/2025 - About 12 months ago

Identifiers

Medicaid

CO71983

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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