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CODAC INC
NPI 1164923553
Public Health or Welfare in Cranston, RI

Active since February 22, 2018
3 REGAN CT, CRANSTON, RI 02920(401) 462-3530(401) 462-3529 Get Directions Write a Review

NPPES record last updated: April 25, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 25, 2019, Feb 22, 2018 (2 updates tracked since 2018).

About Codac Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CODAC INC (NPI 1164923553) is a healthcare organization registered as a public health or welfare in Cranston, Rhode Island and active in the NPI registry since February 2018. The organization lists Alisha M Bourdeau, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164923553
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameCODAC INC
Location Address3 REGAN CTCranston, RI 02920
Mailing Address1052 Park AveCranston, RI 02910-3225 · (401) 275-5038 · Fax (401) 942-3590
Phone(401) 462-3530
Fax(401) 462-3529
Organization SubpartNo
Authorized OfficialAlisha M BourdeauCfo · (401) 275-5038
Enumeration DateFebruary 22, 2018
Last NPPES UpdateApril 25, 20192 updates tracked since enumeration
✔ NPI 1164923553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
License✔ Licensed in RI · 605.08
Also ListedPeer SpecialistTaxonomy 175T00000X
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X · License 605.08 (RI)
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 605.08 (RI)
3 REGAN CT, Cranston, RI 02920
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Other Identifiers 1

MedicaidCO71983RI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions

What is CODAC INC's NPI number?

The NPI number assigned to this healthcare provider is 1164923553, enumerated as an "organization" on February 22, 2018.

Where is the provider located?

The provider is located at 3 REGAN CT CRANSTON, RI 02920 and the phone number is (401) 462-3530.

What is the provider's specialty?

Public Health or Welfare with taxonomy code 251K00000X.

What insurance does CODAC INC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.