HomeNPI Verification

NPI Verification

National Provider Identifier: 1376769919

Codac INC

Organization

Primary Specialty

Clinic/Center, Methadone Clinic

Code: 261QM2800X

All Specialties (9)

Clinic/Center, Primary Care

Code: 261QP2300X

Peer Specialist

Code: 175T00000X

Family Medicine, Addiction Medicine

Code: 207QA0401X

Clinic/Center, Rehabilitation, Substance Use Disorder

Code: 261QR0405X

Public Health or Welfare

Code: 251K00000X

Clinic/Center, Methadone Clinic

Code: 261QM2800X

Clinic/Center, Rehabilitation, Substance Use Disorder

Code: 261QR0405X

Rehabilitation, Substance Use Disorder Unit

Code: 276400000X

Clinic/Center, Methadone Clinic

Code: 261QM2800X

Primary

Practice Address

850 WATERMAN AVE

CODAC EAST BAY

EAST PROVIDENCE, RI 02914

Phone: 401-434-4999

NPI Enumeration Date

April 18, 2007

NPI Number

1376769919

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry