CODAC CRANSTON – NPI #1295731321
Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
CODAC CRANSTON is an AHC clinic located in CRANSTON, RI. NPPES has assigned the NPI number 1295731321 to CODAC CRANSTON on June 23, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CODAC CRANSTON” is a dba name, the actual legal business name for this organization is CODAC INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM2800X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Methadone Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 4 years ago on Dec 21, 2021. 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 CRANSTON below.
NPI Profile for
CODAC INC
(about 21 years ago)
CODAC CRANSTON
CRANSTON, RI 02910 Phone: (401) 461-5056 Fax: (401) 943-2167
CFO
Phone: (401) 275-5038
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
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 |
|---|---|---|
| 261QM2800X - Clinic/Center / Methadone (Primary) |
RI | 605.01 |
| 276400000X - Rehabilitation, Substance Use Disorder Unit |
RI | 605.1 |
| 261QR0405X - Clinic/Center / Rehabilitation, Substance Use Disorder |
RI | 605.01 |
| 261QP2300X - Clinic/Center / Primary Care |
RI | ACF01632-01 |
| 251K00000X - Public Health or Welfare |
RI | 605.1 |
| 207QA0401X - Family Medicine / Addiction Medicine |
RI | ACF01632-01 |
| 175T00000X - Peer Specialist |
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.