Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Codac Inc

Q: What type of organization is Codac Inc?

Codac Inc is registered in NPPES as a Methadone Clinic (its primary provider taxonomy).

Methadone Clinic in Providence, RI · enumerated 2016 · authorized official Alisha Bourdeau, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558712034

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Registry record

Entity type Organization (Type 2)

Legal business name Codac Inc

Other name <Unavail>

Practice address 528 N Main St, Providence, RI, 02904

Phone (401) 808-4278

Fax (401) 808-6957

Enumeration date Jun 27, 2016

Last updated in NPPES Apr 25, 2019

Taxonomy & classification

175T00000X Peer Specialist Other Service Providers Secondary

251K00000X Public Health or Welfare Agency Agencies · License 605.07 (RI) Secondary

261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities · License 605.07 (RI) Secondary

261QM2800X Methadone Clinic Ambulatory Health Care Facilities · License 605.07 (RI) Primary

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License ACF01632 (RI) Secondary

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities · License 605.07 (RI) Secondary

276400000X Substance Use Disorder Rehabilitation Hospital Unit Hospital Units · License 605.07 (RI) Secondary

Authorized official

Name Alisha Bourdeau

Title Cfo

Phone (401) 275-5038

Other identifiers

Identifier	Type	State	Issuer
CI01382	Medicaid	RI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Codac Inc?

Codac Inc is registered in NPPES as a Methadone Clinic (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-04-25.