Codac Inc in Newport - Addiction Medicine

Codac Inc - NPI 1043436785

Codac Inc is a Addiction Medicine in Newport, Rhode Island. Codac Inc practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Codac Inc is 1043436785. The last update date is 2021-12-21.

Codac Inc's current location address is 93 Thames St, Newport, Rhode Island. You can contact this provider via phone number 4018464150 and fax number 4018469340. The mailing address for Codac Inc is 93 Thames St, Newport, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Organization Codac Inc
Address 93 Thames St, Newport, Rhode Island
Phone Number 4018464150
Fax Number 4018469340
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CFO
Authorized Official Name Bourdeau M Alisha
Credentials BS
Telephone Number 4012755038

NPI Number Detail

NPI Number 1043436785
Provider Enumeration Date 2007-04-18
Last Updated Date 2021-12-21

Provider Mailing Address Detail

Address 93 Thames St
City Newport
State Rhode Island (RI)
Post Code 2840
Phone Number 4018464150
Fax Number 4018469340

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 207Qa0401X
Licence No ACF01632-05
Definition:
A family medicine physician who specializes in the diagnosis and treatment of addictions.

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FAQs about Codac Inc

What is the unique 10-digit identification code issued to Codac Inc by the Centers for Medicare & Medicaid Services?

The Codac Inc has been assigned the NPI (National Provider Identifier) 1043436785 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Codac Inc's facilities are situated?

The facilities of Codac Inc are physically located at the following address: 93 Thames St, Newport, RI, 2840.

What is Codac Inc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Codac Inc's area of specialization is Addiction Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qa0401X.

On what date was the 1043436785 assigned to Codac Inc?

The Codac Inc was issued its 1043436785 on 2007-04-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Codac Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Codac Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-12-21.

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