Codac Inc is a Methadone in East Providence, Rhode Island. Codac Inc practices all healthcare services and medical treatments related to Methadone. The NPI Number for Codac Inc is 1376769919. The last update date is 2021-12-21.
Codac Inc's current location address is 850 Waterman Ave, East Providence, Rhode Island. You can contact this provider via phone number 4014344999 and fax number 4014346116. The mailing address for Codac Inc is 850 Waterman Ave, East Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Codac Inc |
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Address | 850 Waterman Ave, East Providence, Rhode Island |
Phone Number | 4014344999 |
Fax Number | 4014346116 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CFO |
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Authorized Official Name | Bourdeau M Alisha |
Credentials | BS |
Telephone Number | 4012755038 |
NPI Number Detail
NPI Number | 1376769919 |
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Provider Enumeration Date | 2007-04-18 |
Last Updated Date | 2021-12-21 |
Provider Mailing Address Detail
Address | 850 Waterman Ave |
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City | East Providence |
State | Rhode Island (RI) |
Post Code | 2914 |
Phone Number | 4014344999 |
Fax Number | 4014346116 |
Provider's Primary Taxonomy Detail
Speciality | Methadone |
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Taxonomy | 261Qm2800X |
Licence No | 605.2 |
Definition: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
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What is the Codac Inc's unique identification number?
The Codac Inc has been assigned the NPI (National Provider Identifier) Number 1376769919 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Codac Inc is physically located?
The Codac Inc is physically situated at the following address: 850 Waterman Ave, East Providence, RI, 2914.
What is Codac Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Codac Inc is Methadone, and the taxonomy code that categorizes this field of expertise is 261Qm2800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376769919 to Codac Inc?
The Centers for Medicare & Medicaid Services originally issued the 1376769919 to Codac Inc on 2007-04-18.
As of what date were the Codac Inc's details last updated?
The information pertaining to the Codac Inc, including its address, specialty, and other details, was most recently updated on 2021-12-21.