CODAC AT ALVERNON – NPI #1174862007
Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
CODAC AT ALVERNON is an AHC clinic located in TUCSON, AZ. NPPES has assigned the NPI number 1174862007 to CODAC AT ALVERNON on February 13, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CODAC AT ALVERNON” is a dba name, the actual legal business name for this organization is CODAC HEALTH, RECOVERY & WELLNESS, INC.. The primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health
The NPI profile was previously updated about 11 years ago on Sep 25, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CODAC AT ALVERNON below.
NPI Profile for
CODAC HEALTH, RECOVERY & WELLNESS, INC.
(more than 13 years ago)
STE 161
TUCSON, AZ 85711-1843 Phone: (520) 318-9222 Fax: (520) 318-3443
STE 202
TUCSON, AZ 85719-2374 Phone: (520) 327-4505 Fax: (520) 202-1889
CEO
Phone: (520) 327-4505
Identifiers for CODAC AT ALVERNON
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | AZ | 805051 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QM0850X - Clinic/Center / Adult Mental Health (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.