Codac Inc is a Addiction Medicine in Cranston, Rhode Island. Codac Inc practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Codac Inc is 1851513394. The last update date is 2021-12-21.
Codac Inc's current location address is 1052 Park Ave, Cranston, Rhode Island. You can contact this provider via phone number 4012755038 and fax number 4019423590. The mailing address for Codac Inc is 1052 Park Ave, Cranston, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Codac Inc |
|---|---|
| Address | 1052 Park Ave, Cranston, Rhode Island |
| Phone Number | 4012755038 |
| Fax Number | 4019423590 |
| 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 | 1851513394 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2021-12-21 |
Provider Mailing Address Detail
| Address | 1052 Park Ave |
|---|---|
| City | Cranston |
| State | Rhode Island (RI) |
| Post Code | 29103225 |
| Phone Number | 4012755038 |
| Fax Number | 4019423590 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Qa0401X |
| Licence No | 605 |
|
Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CI01382 | RI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Codac Inc?
The Codac Inc has been issued the NPI (National Provider Identifier) 1851513394 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Codac Inc located?
The Codac Inc is located at 1052 Park Ave, Cranston, RI 29103225.
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 did the Codac Inc receive the assignment of its 1851513394 from the Centers for Medicare & Medicaid Services?
The Codac Inc was issued its 1851513394 by the Centers for Medicare & Medicaid Services on 2007-05-03.
As of what date were the details pertaining to Codac Inc last refreshed?
The information related to the Codac Inc, including its address, specialty, and other relevant details, was last updated on 2021-12-21.
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