OrganizationActive
Codac Healthcare, LLC
NPI 1447944111 · Multi-Specialty Clinic/Center · Providence, RI
Provider details
- NPI number
- 1447944111
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alisha Bourdeau, Cfo(401) 275-5038
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
349 Huntington Ave
Providence, RI 02909-3005
Phone: (401) 942-1450
Fax: (401) 946-1550
Approximate (ZIP-level) locationGet directions
Mailing address
1052 Park Ave
Cranston, RI 02910-3225
Registry dates
- Enumerated
- 2023-06-06
- Last updated
- 2023-06-06
- Certified
- 2023-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.