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CODAC SOUTH COUNTY
NPI 1679799217
Clinic/Center - Methadone in Saunderstown, RI

Active since April 18, 2007
3045 TOWER HILL RD, SAUNDERSTOWN, RI 02874(401) 789-0934(401) 789-0251 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 21, 2021, Apr 25, 2019, Sep 22, 2017 and 1 more (4 updates tracked since 2017).

About Codac South County NPPES

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

CODAC SOUTH COUNTY (NPI 1679799217) is a healthcare organization registered as a methadone in Saunderstown, Rhode Island and active in the NPI registry since April 2007. The organization lists Alisha M Bourdeau, Cfo, as its authorized official.

NPPES Registry Identity

NPI1679799217
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameCODAC INC
Location Address3045 TOWER HILL RDSaunderstown, RI 02874-1501
Mailing Address1052 Park AveCranston, RI 02910 · (401) 275-5038 · Fax (401) 942-3590
Phone(401) 789-0934
Fax(401) 789-0251
Organization SubpartNo
Authorized OfficialAlisha M BourdeauCfo · (401) 275-5038
Enumeration DateApril 18, 2007
Last NPPES UpdateDecember 21, 20214 updates tracked since enumeration
NPPES CertifiedDecember 21, 2021
✔ NPI 1679799217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Licenses✔ Licensed in RI · 605.06✔ Licensed in RI · 605.6
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedPeer SpecialistTaxonomy 175T00000X
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License ACF01632-02 (RI)
Also ListedPublic Health or WelfareTaxonomy 251K00000X · License 605.6 (RI)
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License ACF01632-02 (RI)
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 605.06 (RI), 605.6 (RI)
Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X · License 605.6 (RI)
3045 TOWER HILL RD, Saunderstown, RI 02874
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Other Names 1

Doing Business AsCodac South County

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN FREDERICK LIPPE JR.
Counselor (Addiction (Substance Use Disorder))
3045 TOWER HILL RD
SAUNDERSTOWN, RI 02874
Washington County (401) 789-0934
MRS. HEATHER ANNE OSTERBERG-ALOI DOCTORATE/LPC
Counselor (Professional)
3045 TOWER HILL RD
SAUNDERSTOWN, RI 02874
Washington County (401) 789-0934

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Codac Inc's NPI number?

The NPI number for Codac Inc is 1679799217. It was assigned to this organization in the NPPES registry on April 18, 2007. The provider is doing business as Codac South County.

Where is Codac Inc located?

Codac Inc is located at 3045 Tower Hill Rd, Saunderstown, RI 02874. The listed phone number is (401) 789-0934.

What is Codac Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

When was this NPI record last updated?

The NPPES record for Codac Inc was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.