| Codac Inc | |
|
1052 Park Ave Cranston RI 02910-3225 | |
| (401) 275-5038 | |
| (401) 942-3590 |
| Full Name | Codac Inc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 1052 Park Ave, Cranston, Rhode Island |
| Authorized Official Name and Position | Alisha M Bourdeau (CFO) |
| Authorized Official Contact | 4012755038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Codac Inc 1052 Park Ave Cranston RI 02910-3225 Ph: (401) 275-5038 | Codac Inc 1052 Park Ave Cranston RI 02910-3225 Ph: (401) 275-5038 |
| NPI Number | 1467988683 |
|---|---|
| Provider Enumeration Date | 05/08/2017 |
| Last Update Date | 12/21/2021 |
| Certification Date | 12/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467988683 | NPI | - | NPPES |
| CI01382 | Medicaid | RI |
Fallon & Horan DO Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1592 Broad St, Cranston, RI 02905 Phone: 401-467-3350 |
Park Medical Associates, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 Park Ave, Cranston, RI 02905 Phone: 800-927-0002 |
Roberto Ortiz M.D., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 Reservoir Ave, Cranston, RI 02910 Phone: 401-943-9791 Fax: 401-943-1071 |
Cruzcare1 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 336 Princess Ave Apt Home, Cranston, RI 02920 Phone: 401-569-4691 |
Knightsville Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1681 Cranston St, Suite D, Cranston, RI 02920 Phone: 401-946-8446 Fax: 401-946-8340 |
Kardous Primary Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1145 Reservoir Ave, Ste 301, Cranston, RI 02920 Phone: 401-946-5001 Fax: 401-946-5101 |